| 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 |
|---|---|
| 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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