MEDICARE: BUILDING BUTTERFLIES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1215745260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUILDING BUTTERFLIES LLC

Provider Business Mailing Address
First Line	:	1 PARAGON DR STE 252
Second Line	:
City	:	MONTVALE
State	:	NJ
Zip	:	07645-1728
Country	:	US
Telephone Number	:	973-221-8220
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 PARAGON DR STE 252
Second Line	:
City	:	MONTVALE
State	:	NJ
Zip	:	07645-1728
Country	:	US
Telephone Number	:	973-221-8220
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID ROTENBERG
Credential	:
Telephone Number	:	973-221-8220

Provider Enumeration Date	:	12/23/2024
Last Update Date	:	12/23/2024

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Directions to “BUILDING BUTTERFLIES LLC ” Practice Location

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