| Blue Gems Aba Tn Llc | |
|
40 Burton Hills Blvd Ste 200 Nashville TN 37215-5902 | |
| (617) 297-7998 | |
| Not Available |
| Full Name | Blue Gems Aba Tn Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 40 Burton Hills Blvd Ste 200, Nashville, Tennessee |
| Authorized Official Name and Position | Nachum Wolmark (OWNER) |
| Authorized Official Contact | 6172977998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Gems Aba Tn Llc 101 Eisenhower Pkwy Ste 300 Roseland NJ 07068-1054 Ph: (617) 297-7998 | Blue Gems Aba Tn Llc 40 Burton Hills Blvd Ste 200 Nashville TN 37215-5902 Ph: (617) 297-7998 |
| NPI Number | 1003579228 |
|---|---|
| Provider Enumeration Date | 10/14/2021 |
| Last Update Date | 10/14/2021 |
| Certification Date | 10/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003579228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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