Organization
BLUE GEMS ABA MO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WOLF (CEO)
(617) 297-7998
Entity
Organization
Contact information
Practice address
800 E 101ST TER STE 350, KANSAS CITY, MO 64131-5310
(816) 371-4180
(617) 340-3371
Mailing address
800 E 101ST TER STE 350, KANSAS CITY, MO 64131-5310
(617) 297-7998
(617) 340-3371
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/12/2023
Last updated
07/18/2024
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