| Blue Gems Aba Ga Llc | |
|
303 Perimeter Ctr N Ste 300 Atlanta GA 30346-3401 | |
| (770) 264-1920 | |
| Not Available |
| Full Name | Blue Gems Aba Ga Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 303 Perimeter Ctr N Ste 300, Atlanta, Georgia |
| Authorized Official Name and Position | David Wolf (CEO) |
| Authorized Official Contact | 6172977998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Gems Aba Ga Llc 101 Eisenhower Pkwy Ste 300 Roseland NJ 07068-1054 Ph: (617) 297-7998 | Blue Gems Aba Ga Llc 303 Perimeter Ctr N Ste 300 Atlanta GA 30346-3401 Ph: (770) 264-1920 |
| NPI Number | 1336822832 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336822832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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