Healthcare Provider Details
I. General information
NPI: 1205731254
Provider Name (Legal Business Name): GEMS BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
29970 TECHNOLOGY DR STE 215F
MURRIETA CA
92563-2649
US
IV. Provider business mailing address
4200 CLOUDYWING RD
HEMET CA
92545-8947
US
V. Phone/Fax
- Phone: 951-321-9971
- Fax: 951-376-4056
- Phone: 951-321-9971
- Fax: 951-376-4056
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MRS.
TIMIZA
R
FARLEY
Title or Position: OWNER
Credential: BCBA
Phone: 951-321-9971