Provider Demographics
NPI:1689117285
Name:HAMILTON, STEPHANIE
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 FAIRWAY DR. SUITE 102
Mailing Address - Street 2:BUTTERFLY EFFECTS LLC
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441
Mailing Address - Country:US
Mailing Address - Phone:888-880-0270
Mailing Address - Fax:
Practice Address - Street 1:421 FAYETTEVILLE STREET SUITE 1100
Practice Address - Street 2:BUTTERFLY EFFECTS LLC
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-3138
Practice Address - Country:US
Practice Address - Phone:888-880-0270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician