Organization
BLUE GEMS ABA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WOLF (CEO)
(617) 297-7998
Entity
Organization
Contact information
Practice address
10440 LITTLE PATUXENT PKWY STE 300, COLUMBIA, MD 21044-3648
(443) 656-9050
Mailing address
101 EISENHOWER PKWY, ROSELAND, NJ 07068-1032
(617) 297-7998
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/12/2021
Last updated
07/18/2024
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