Organization Active NPI

Butterfly Effects

  • Behavior Technician
  • Stockton, CA
National Provider Identifier
1043865959
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
BUTTERFLY EFFECTS
Practice address
4245 W March Lane
Stockton, CA 95208-9520
Phone
(510) 338-2351
NPI assigned
Aug 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jackie Berryessa
Title
Human Resources Coordinator
Phone
(209) 782-8445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

4245 W March Lane
Stockton, CA 95208-9520

Mailing address

1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ciara.swan@butterflyeffects.com

National Provider Directory

National Provider Directory

Locations

1811 Grand Canal Blvd
Ste 2
Stockton, CA 95207
Phone (209) 213-1124

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1043865959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 GRAND CANAL BLVD STE 2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 W MARCH LANE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952089520",
            "telephone_number": "510-338-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTERFLY EFFECTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "BERRYESSA",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "HUMAN RESOURCES COORDINATOR",
        "authorized_official_telephone_number": "209-782-8445"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ciara.swan@butterflyeffects.com",
            "affiliation": "N",
            "address_1": "4245 W March Lane",
            "city": "Stockton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952089520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.