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Organization
BUTTERFLY EFFECTS
Active
Organization
BUTTERFLY EFFECTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SONG (HR COORDINATOR)
(209) 452-8996
Entity
Organization
Contact information
Practice address
1811 GRAND CANAL BLVD STE 2, STOCKTON, CA 95207-8107
(209) 452-8996
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 33441-1834
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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