Blueprint Behavioral Health Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLUEPRINT BEHAVIORAL HEALTH THERAPY

Practice address

1960 E Renee Dr
Phoenix, AZ 85024-3062

Phone

(405) 657-7433

NPI assigned

Dec 19, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Louis Alexander Marull, LBA, BCBANPI 1437666260

Title

Owner/Operator

Phone

(405) 657-7433

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louis Alexander Marull

  • Counselor
  • Edmond, OK
  • NPI 1437666260
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1982472841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 E RENEE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850243062",
            "telephone_number": "405-657-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 E RENEE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850243062",
            "telephone_number": "405-657-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEPRINT BEHAVIORAL HEALTH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "MARULL",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "405-657-7433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LBA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Ye Maya LLC
• Blue Ye Maya LLC
• Daniel S Blue, D.D.S., M.S.
• Bluefield Mesa Telemedicine Health & Wellness LLC
• Bluepaz, LLC
• Judith A Bluff, RN
• Stacy Gittel Blum, D.O.
• Annette Harris Blume, CCC/SLP
• Lauren Blumenthal, PT
• Rachael Beth Blumenthal, D.O.

• Behavior Analyst in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.