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Organization

BEHAVIOR BLUEPRINT THERAPY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHAUNTELL TROUTMAN BCBA LBA (DIRECTOR & BCBA)
(901) 238-5814
Entity
Organization

Contact information

Practice address
2670 UNION AVENUE EXT, MEMPHIS, TN 38112-4426
(901) 238-5814
Mailing address
2670 UNION AVENUE EXT, MEMPHIS, TN 38112-4426
(901) 238-5814

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
02/04/2026
Last updated
03/24/2026
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