NPI 1083482988 · live from the CMS NPI Registry
Blue Gems Aba Therapy Ut LLC
Behavior Analyst in Sandy, UT. National Provider Identifier 1083482988, active.
NPI record
| NPI | 1083482988 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 9980 S 300 W Ste 200, Sandy, UT 84070 |
| Practice phone | 801-466-2573 |
| Enumerated | December 19, 2023 |
| Last updated | June 1, 2026 |
| Authorized official | David Wolf, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.