=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134071772
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BUTTERFLY EFFECTS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/13/2026
-----------------------------------------------------
Last Update Date | 02/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4695 MACARTHUR CT STE 1100
-----------------------------------------------------
City | NEWPORT BEACH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92660-1866
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-418-2978
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 350 FAIRWAY DR STE 101
-----------------------------------------------------
City | DEERFIELD BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33441-1834
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-418-2979
-----------------------------------------------------
Fax | 866-500-2186
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BEHAVIORAL TECH
-----------------------------------------------------
Name | HANNAH GOMEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 562-399-1095
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106S00000X
-----------------------------------------------------
Taxonomy Name | Behavior Technician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------