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Organization
BUTTERFLY EFFECTS
Active
Organization
BUTTERFLY EFFECTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BERRYESSA (HUMAN RESOURCES COORDINATOR)
(209) 782-8445
Entity
Organization
Contact information
Practice address
4245 W MARCH LANE, STOCKTON, CA 95208-9520
(510) 338-2351
Mailing address
1811 GRAND CANAL BLVD STE 2, STOCKTON, CA 95207-8107
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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