| 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 |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9980 S 300 W Ste 200, Sandy, Utah |
| Authorized Official Name and Position | Nachum Wolmark (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 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 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| 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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