Healthcare Provider Details

I. General information

NPI: 1609731314
Provider Name (Legal Business Name): BUTTERFLY EFFECTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5867 FINNEY ST
NORFOLK VA
23502-4517
US

IV. Provider business mailing address

5867 FINNEY ST
NORFOLK VA
23502-4517
US

V. Phone/Fax

Practice location:
  • Phone: 888-880-9270
  • Fax:
Mailing address:
  • Phone: 888-880-9270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: AMBREIA LASHA STEGALL
Title or Position: BEHAVIOR TECHNICIAN
Credential: BT
Phone: 404-783-0662