Healthcare Provider Details

I. General information

NPI: 1982303384
Provider Name (Legal Business Name): PURPLE BUTTERFLY ABA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2023
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7531 ALPINE WAY
TUJUNGA CA
91042-1105
US

IV. Provider business mailing address

7531 ALPINE WAY
TUJUNGA CA
91042-1105
US

V. Phone/Fax

Practice location:
  • Phone: 747-257-0157
  • Fax:
Mailing address:
  • Phone: 747-257-0157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JAQUALINE DILANYAN
Title or Position: CEO
Credential:
Phone: 818-400-0852