Butterfly Effects | |
4245 W March Lane Stockton CA 95208-9520 | |
(510) 338-2351 | |
Not Available |
Full Name | Butterfly Effects |
---|---|
Speciality | Behavior Technician |
Location | 4245 W March Lane, Stockton, California |
Authorized Official Name and Position | Jackie Berryessa (HUMAN RESOURCES COORDINATOR) |
Authorized Official Contact | 2097828445 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Butterfly Effects 1811 Grand Canal Blvd Ste 2 Stockton CA 95207-8107 Ph: () - | Butterfly Effects 4245 W March Lane Stockton CA 95208-9520 Ph: (510) 338-2351 |
NPI Number | 1043865959 |
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Provider Enumeration Date | 08/07/2019 |
Last Update Date | 08/07/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043865959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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