| Blueprint Behavioral Health Therapy | |
|
1960 E Renee Dr Phoenix AZ 85024-3062 | |
| (405) 657-7433 | |
| Not Available |
| Full Name | Blueprint Behavioral Health Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1960 E Renee Dr, Phoenix, Arizona |
| Authorized Official Name and Position | Louis Alexander Marull (OWNER/OPERATOR) |
| Authorized Official Contact | 4056577433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blueprint Behavioral Health Therapy 1960 E Renee Dr Phoenix AZ 85024-3062 Ph: (405) 657-7433 | Blueprint Behavioral Health Therapy 1960 E Renee Dr Phoenix AZ 85024-3062 Ph: (405) 657-7433 |
| NPI Number | 1982472841 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982472841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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