Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Gems ABA Nc LLC

Organization Behavior Analyst · NPI 1861061699

Blue Gems ABA Nc LLC is a Behavior Analyst in Winston Salem, North Carolina. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

615 Saint George Square Ct
Winston Salem, NC 27103-1356
Phone: (336) 827-3384
Fax: (617) 340-3371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1861061699
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Wolf — Ceo · (617) 297-7998
NPI enumeratedJune 24, 2021
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing address615 Saint George Square Ct, Winston Salem, NC 27103-1356

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