Look up the most recent NPI and PECOS records

Butterfly Effects

Behavior Analyst

Behavioral Health & Social Service Providers

4301 N Federal Hwy Ste 2, Pompano Beach, FL 33064-6519

PECOS Enrollment

Based on the most recent information from CMS, provider Butterfly Effects does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1669800876
Provider Type
Organization
Full Name
Butterfly Effects

Subpart
No
Enumeration Date
10/25/2013
Last Updated
10/25/2013

Contact Information

Practice Location

4301 N Federal Hwy Ste 2, Pompano Beach, FL 33064-6519

(888) 870-9207

(954) 342-0273

Mailing Location

6061 Tina Ln, Rex, GA 30273-1128

Unlisted Phone

Unlisted Fax

Authorized Official

Porter, Laswanda (Behavior Implementer)

(404) 903-7839

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License Unlisted Issuer

Butterfly Effects

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Stovall, Ciera C

Adams, Latoya

Anderson, Marquese

Rutledge, Rand

Tigner, Diandra

Aguirre, Elaine

Hermes, Angela M

King, Caroline Elizabeth

Saik, Sarah

Stanback Enterprises Llc