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Blue Water ABA Therapy, Co

NPI 1033602552ActiveOrganization· Behavior Analyst· Gloucester, VA

Behavior Analyst in Gloucester, Virginia, registered in NPPES in June 2018. The authorized official on file is Heidi Lynn Callis, BCBA, Owner/Bcba.

Overview

NPI1033602552
StatusActive
Entity typeOrganization
NPI issuedJun 9, 2018
Last updated in NPPESOct 25, 2020
Certified by providerOct 25, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Behavior Analyst Primary103K00000X0133000500VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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