| Blue Gems Aba Therapy Ok Llc | |
|
8211 E Regal Pl Ste 100-103 Tulsa OK 74133-7167 | |
| (918) 679-3193 | |
| Not Available |
| Full Name | Blue Gems Aba Therapy Ok Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8211 E Regal Pl Ste 100-103, Tulsa, Oklahoma |
| 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 Ok Llc 101 Eisenhower Pkwy Ste 300 Roseland NJ 07068-1054 Ph: () - | Blue Gems Aba Therapy Ok Llc 8211 E Regal Pl Ste 100-103 Tulsa OK 74133-7167 Ph: (918) 679-3193 |
| NPI Number | 1467261636 |
|---|---|
| Provider Enumeration Date | 01/02/2025 |
| Last Update Date | 01/02/2025 |
| Certification Date | 01/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467261636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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