Blue Gems ABA in LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLUE GEMS ABA IN LLC

Practice address

201 N Illinois St FL 16
Indianapolis, IN 46204-1904

Phone

(317) 300-7695

Fax

(617) 340-3371

NPI assigned

Aug 31, 2021

Organization subpart

No

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

Authorized official

Name

David Wolf

Title

Ceo

Phone

(617) 297-7998

Specialties & licenses 2

Addresses

Other names 1

• blue Gems ABA Other name

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1992473409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N ILLINOIS ST FL 16",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041904",
            "telephone_number": "617-297-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N ILLINOIS ST FL 16",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041904",
            "telephone_number": "317-300-7695",
            "fax_number": "617-340-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE GEMS ABA IN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "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": [
        {
            "organization_name": "blue Gems ABA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "blue Gems ABA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Courtland R Blount, MD
• Sarah Elizabeth Blount, DPT
• Nathaniel Blucker, MD
• Blue ABA Indiana LLC
• Blue Balloon in LLC
• Blue Mountain ABA LLC
• Cierra Blue, RN
• Deborah E Blue, M.D.
• Larry Joe Blue, LAC, CHW, MATS, MTH
• Tiffany Marie Blue, FNP

• All providers in Indianapolis, IN
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.