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General NPI Number Information
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NPI Number | 1609731314
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Entity Type | Organization
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Legal Business Name | BUTTERFLY EFFECTS LLC
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 5867 FINNEY ST
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City | NORFOLK
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State | VA
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Zip | 23502-4517
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Country | US
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Telephone | 888-880-9270
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Fax |
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Provider Business Mailing Address
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Address Line | 5867 FINNEY ST
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City | NORFOLK
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State | VA
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Zip | 23502-4517
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Country | US
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Telephone | 888-880-9270
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Fax |
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Authorized Official
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Title or Position | BEHAVIOR TECHNICIAN
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Name | AMBREIA LASHA STEGALL
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Credential | BT
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Telephone | 404-783-0662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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