Organization
BLUE GEMS ABA IN LLC
Active
Other names
blue Gems ABA
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WOLF (CEO)
(617) 297-7998
Entity
Organization
Contact information
Practice address
201 N ILLINOIS ST FL 16, INDIANAPOLIS, IN 46204-1904
(317) 300-7695
(617) 340-3371
Mailing address
101 EISENHOWER PKWY STE 300, ROSELAND, NJ 07068-1054
(617) 297-7998
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/31/2021
Last updated
07/18/2024
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