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General NPI Number Information
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NPI Number | 1700778784
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Entity Type | Organization
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Legal Business Name | THE BLUE BUTTERFLY BEYOND AUTISM LLC
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 19 APACHE DR
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City | BROOKFIELD
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State | CT
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Zip | 06804-3103
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Country | US
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Telephone | 347-413-2734
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Fax |
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Provider Business Mailing Address
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Address Line | 19 APACHE DR
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City | BROOKFIELD
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State | CT
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Zip | 06804-3103
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. PATRYCJA MOTYLEWICZ
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Credential | BCBA, DBH
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Telephone | 203-300-2427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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