Provider Demographics
NPI:1982303384
Name:PURPLE BUTTERFLY ABA, INC.
Entity type:Organization
Organization Name:PURPLE BUTTERFLY ABA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAQUALINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DILANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-400-0852
Mailing Address - Street 1:7531 ALPINE WAY
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-1105
Mailing Address - Country:US
Mailing Address - Phone:747-257-0157
Mailing Address - Fax:
Practice Address - Street 1:7531 ALPINE WAY
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-1105
Practice Address - Country:US
Practice Address - Phone:747-257-0157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-24
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1000288OtherBEHAVIORAL HEALTH ABA