Search › Virginia › 103K00000X
Heidi Callis, BCBA
NPI 1760897730 · on the registry since 2014 · sole proprietor
Practice
- Address
- 5472 Kings Dr
Gloucester, VA 23061 - Phone
- (804) 824-2396
- Fax
- (804) 824-2397
- Organisation at this address
- Blue Water Aba Therapy, Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia