Healthcare Provider Details

I. General information

NPI: 1932035748
Provider Name (Legal Business Name): GEMSTONE ABA CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 HOOKS LN STE 314
PIKESVILLE MD
21208-1620
US

IV. Provider business mailing address

25 HOOKS LN STE 314
PIKESVILLE MD
21208-1620
US

V. Phone/Fax

Practice location:
  • Phone: 667-273-9293
  • Fax:
Mailing address:
  • Phone: 667-273-9293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN MUSMAN
Title or Position: OWNER
Credential: PSY.D.
Phone: 667-273-9293