Healthcare Provider Details
I. General information
NPI: 1942165386
Provider Name (Legal Business Name): BUTTERFLY EFFECTS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
225 CEDAR HILL ST
MARLBOROUGH MA
01752-5900
US
IV. Provider business mailing address
81 LAMB ST
SOUTH HADLEY MA
01075-2964
US
V. Phone/Fax
- Phone: 571-206-4988
- Fax:
- Phone: 413-417-4782
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AUTUMN
ROSE
LEWINSKI
Title or Position: RBT
Credential:
Phone: 888-880-9270