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General NPI Number Information
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NPI Number | 1952151987
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Entity Type | Organization
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Legal Business Name | BUTTERFLY BEHAVIOR THERAPY GROUP LLC
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Dates
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Enumeration Date | 03/25/2024
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 1011 N HIGHWAY 27
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City | WHITLEY CITY
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State | KY
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Zip | 42653-5025
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Country | US
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Telephone | 606-310-6958
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 368
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City | WHITLEY CITY
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State | KY
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Zip | 42653-0368
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Country | US
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Telephone | 606-516-4665
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY STEPHENS
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Credential |
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Telephone | 606-516-4665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 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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Taxonomy #3
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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