Blue Gems Aba Therapy Ut Llc | |
9980 S 300 W Ste 200 Sandy UT 84070-3654 | |
(801) 466-2573 | |
(617) 340-3371 |
Full Name | Blue Gems Aba Therapy Ut Llc |
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Speciality | Behavior Analyst |
Location | 9980 S 300 W Ste 200, Sandy, Utah |
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 |
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Blue Gems Aba Therapy Ut Llc 101 Eisenhower Pkwy Ste 300 Roseland NJ 07068-1054 Ph: () - | Blue Gems Aba Therapy Ut Llc 9980 S 300 W Ste 200 Sandy UT 84070-3654 Ph: (801) 466-2573 |
NPI Number | 1083482988 |
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Provider Enumeration Date | 12/19/2023 |
Last Update Date | 07/18/2024 |
Certification Date | 07/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083482988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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