BLUE WATER ABA THERAPY, CO
NPI 1033602552
Behavior Analyst in Gloucester, VA

NPI Status: Active since June 09, 2018

Contact Information

5472 KINGS DR
GLOUCESTER, VA
ZIP 23061
Phone: (804) 824-2396
Fax: (804) 824-2397

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  • Organization
  • Behavior Analyst

About BLUE WATER ABA THERAPY, CO

This page provides the complete NPI Profile along with additional information for Blue Water Aba Therapy, Co, a provider established in Gloucester, Virginia operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1033602552 assigned on June 2018. The practitioner's primary taxonomy code is 103K00000X with license number 0133000500 (VA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Heidi Lynn Callis Bcba (Owner/bcba)

NPI
1033602552
Provider Name
BLUE WATER ABA THERAPY, CO
Entity Type
Organization
Location Address
5472 KINGS DR GLOUCESTER, VA 23061
Location Phone
(804) 824-2396
Location Fax
(804) 824-2397
Mailing Address
5472 KINGS DR GLOUCESTER, VA 23061
Mailing Phone
(804) 824-2396
Mailing Fax
(804) 824-2397
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-09-2018
Last Update Date
10-25-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
License No.
0133000500
License State
VA
Taxonomy Description
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HEIDI LYNN CALLIS BCBA

Authorized Official Title
OWNER/BCBA
Authorized Official Phone
(804) 824-2396

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033602552
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20631204510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 2 + 0 + 4 + 5 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1033602552 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760897730MS. HEIDI LYNN CALLIS BCBA
Individual
Behavior Analyst5472 KINGS DR
GLOUCESTER, VA 23061
(804) 824-2396
1679389860 ERIC CHRISTOPHER SCHAEFER RBT
Individual
Behavior Technician5472 KINGS DR
GLOUCESTER, VA 23061
(804) 824-2396

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033602552, enumerated in the NPI registry as an "organization" on June 09, 2018

The provider is located at 5472 Kings Dr Gloucester, Va 23061 and the phone number is (804) 824-2396

This medical organization specializes in Behavior Analyst with taxonomy code 103K00000X

This NPI record was last updated on June 09, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.