Organization
BLUEPRINT BEHAVIORAL HEALTH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS ALEXANDER MARULL LBA, BCBA (OWNER/OPERATOR)
(405) 657-7433
Entity
Organization
Contact information
Practice address
1960 E RENEE DR, PHOENIX, AZ 85024-3062
(405) 657-7433
Mailing address
1960 E RENEE DR, PHOENIX, AZ 85024-3062
(405) 657-7433
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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