| Butterfly Effects | |
|
1811 Grand Canal Blvd Ste 2 Stockton CA 95207-8107 | |
| (209) 452-8996 | |
| Not Available |
| Full Name | Butterfly Effects |
|---|---|
| Speciality | Behavior Technician |
| Location | 1811 Grand Canal Blvd Ste 2, Stockton, California |
| Authorized Official Name and Position | Elizabeth Song (HR COORDINATOR) |
| Authorized Official Contact | 2094528996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Butterfly Effects 350 Fairway Dr Ste 101 Deerfield Beach FL 33441-1834 Ph: (877) 418-2978 | Butterfly Effects 1811 Grand Canal Blvd Ste 2 Stockton CA 95207-8107 Ph: (209) 452-8996 |
| NPI Number | 1548907553 |
|---|---|
| Provider Enumeration Date | 05/19/2022 |
| Last Update Date | 05/19/2022 |
| Certification Date | 05/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548907553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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