Blue Gems ABA TN LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLUE GEMS ABA TN LLC

Practice address

40 Burton Hills Blvd Ste 200
Nashville, TN 37215-5902

Phone

(617) 297-7998

NPI assigned

Oct 14, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nachum Wolmark

Title

Owner

Phone

(617) 297-7998

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1003579228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EISENHOWER PKWY STE 300",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681054",
            "telephone_number": "617-297-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BURTON HILLS BLVD STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372155902",
            "telephone_number": "617-297-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE GEMS ABA TN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "WOLMARK",
        "authorized_official_first_name": "NACHUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-297-7998"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Nashville, TN
• Providers in Nashville, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.