Tidewater Behavioral Services, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

TIDEWATER BEHAVIORAL SERVICES, LLC

Practice address

2213 Scallop Rd
Virginia Beach, VA 23451-1118

Phone

(540) 447-0070

NPI assigned

Apr 19, 2016

Last updated

Apr 19, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Torry Coffey Morris, M.ED, BCBA, LBANPI 1831599497

Title

Bcba, Lba

Phone

(540) 447-0070

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Torry Morris, BCBA, LBA

  • Behavior Analyst
  • Virginia Beach, VA
  • NPI 1831599497
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1265886915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 SCALLOP RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511118",
            "telephone_number": "540-447-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 SCALLOP RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511118",
            "telephone_number": "540-447-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "TORRY",
        "authorized_official_middle_name": "COFFEY",
        "authorized_official_title_or_position": "BCBA, LBA",
        "authorized_official_telephone_number": "540-447-0070",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Tidd, BCBA
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• Tidewater Acupuncture and Wellness
• Tidewater Allergy and Asthma LLC (Tidewater Allery and Asthma)
• Tidewater Anesthesia Inc
• Tidewater Dental Studio PLLC (Tidewater Dental Studio)
• Tidewater Family Practice, P.C.
• Tidewater Foot & Ankle Center, PC
• Tidewater Hearing Center (Miracle Ear)
• Tidewater Home Health Care

• Behavior Analyst in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.