Blue Gems Aba | |
201 N Illinois St Fl 16 Indianapolis IN 46204-1904 | |
(317) 300-7695 | |
(617) 340-3371 |
Full Name | Blue Gems Aba |
---|---|
Speciality | Behavior Analyst |
Location | 201 N Illinois St Fl 16, Indianapolis, Indiana |
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 101 Eisenhower Pkwy Ste 300 Roseland NJ 07068-1054 Ph: (617) 297-7998 | Blue Gems Aba 201 N Illinois St Fl 16 Indianapolis IN 46204-1904 Ph: (317) 300-7695 |
NPI Number | 1992473409 |
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Provider Enumeration Date | 08/31/2021 |
Last Update Date | 07/18/2024 |
Certification Date | 07/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992473409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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