Organization
BLUE GEMS ABA MA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WOLF (CEO)
(617) 297-7998
Entity
Organization
Contact information
Practice address
100 CAMBRIDGE ST FL 14, BOSTON, MA 02114-2509
(617) 297-7998
Mailing address
100 CAMBRIDGE ST FL 14, BOSTON, MA 02114-2509
(617) 297-7998
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/16/2020
Last updated
07/18/2024
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