| Blue Gems Aba Therapy Ks Llc | |
|
12345 W 95th St Fl 2 Lenexa KS 66215-3853 | |
| (913) 358-7372 | |
| Not Available |
| Full Name | Blue Gems Aba Therapy Ks Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12345 W 95th St Fl 2, Lenexa, Kansas |
| 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 Therapy Ks Llc 101 Eisenhower Pkwy Ste 300 Roseland NJ 07068-1054 Ph: (617) 297-7998 | Blue Gems Aba Therapy Ks Llc 12345 W 95th St Fl 2 Lenexa KS 66215-3853 Ph: (913) 358-7372 |
| NPI Number | 1881412187 |
|---|---|
| Provider Enumeration Date | 09/26/2024 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881412187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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