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General NPI Number Information
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NPI Number | 1932035748
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Entity Type | Organization
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Legal Business Name | GEMSTONE ABA CLINIC LLC
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Dates
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Enumeration Date | 06/19/2026
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Last Update Date | 06/19/2026
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Provider Practice Location Address
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Address Line | 25 HOOKS LN STE 314
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City | PIKESVILLE
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State | MD
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Zip | 21208-1620
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Country | US
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Telephone | 667-273-9293
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Fax |
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Provider Business Mailing Address
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Address Line | 25 HOOKS LN STE 314
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City | PIKESVILLE
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State | MD
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Zip | 21208-1620
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Country | US
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Telephone | 667-273-9293
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN MUSMAN
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Credential | PSY.D.
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Telephone | 667-273-9293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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