Organization
BLUE GEMS ABA NE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WOLF (CEO)
(617) 297-7998
Entity
Organization
Contact information
Practice address
14301 FNB PKWY STE 100, OMAHA, NE 68154-7200
(402) 807-7447
(617) 340-3371
Mailing address
101 EISENHOWER PKWY STE 300, ROSELAND, NJ 07068-1054
(617) 297-7998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/23/2022
Last updated
07/18/2024
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