Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Water ABA Therapy, Co

Organization Behavior Analyst · NPI 1033602552

Blue Water ABA Therapy, Co is a Behavior Analyst in Gloucester, Virginia. Licensed in Virginia. Registered with an NPI since 2018.

Licensed in
VA
In the registry since
2018

Practice location Address checks out

5472 Kings Dr
Gloucester, VA 23061-2906
Phone: (804) 824-2396
Fax: (804) 824-2397
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 0133000500 (VA)

Record details

NPI number1033602552
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heidi Callis — Owner/Bcba · (804) 824-2396
NPI enumeratedJune 9, 2018
Last updated in NPPESOctober 25, 2020
Certification dateOctober 25, 2020
Mailing address5472 Kings Dr, Gloucester, VA 23061-2906

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