| Blue Gems Aba Therapy Va Llc | |
|
8280 Willow Oaks Corporate Dr Ste 600 Fairfax VA 22031-4516 | |
| (571) 370-4734 | |
| Not Available |
| Full Name | Blue Gems Aba Therapy Va Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8280 Willow Oaks Corporate Dr Ste 600, Fairfax, Virginia |
| 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 Va Llc 101 Eisenhower Pkwy Ste 300 Roseland NJ 07068-1054 Ph: () - | Blue Gems Aba Therapy Va Llc 8280 Willow Oaks Corporate Dr Ste 600 Fairfax VA 22031-4516 Ph: (571) 370-4734 |
| NPI Number | 1659180826 |
|---|---|
| Provider Enumeration Date | 01/02/2025 |
| Last Update Date | 01/02/2025 |
| Certification Date | 01/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659180826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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