Organization
BLUE GEMS ABA THERAPY VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WOLF (CEO)
(617) 297-7998
Entity
Organization
Contact information
Practice address
8280 WILLOW OAKS CORPORATE DR STE 600, FAIRFAX, VA 22031-4516
(571) 370-4734
Mailing address
101 EISENHOWER PKWY STE 300, ROSELAND, NJ 07068-1054
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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