| Purple Butterfly Aba, Inc. | |
|
12541 Jolette Ave Granada Hills CA 91344-1661 | |
| (818) 795-2311 | |
| Not Available |
| Full Name | Purple Butterfly Aba, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12541 Jolette Ave, Granada Hills, California |
| Authorized Official Name and Position | Mari Kakosimidi (CEO) |
| Authorized Official Contact | 8187952311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purple Butterfly Aba, Inc. 12541 Jolette Ave Granada Hills CA 91344-1661 Ph: (818) 795-2311 | Purple Butterfly Aba, Inc. 12541 Jolette Ave Granada Hills CA 91344-1661 Ph: (818) 795-2311 |
| NPI Number | 1982303384 |
|---|---|
| Provider Enumeration Date | 02/24/2023 |
| Last Update Date | 02/24/2023 |
| Certification Date | 02/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982303384 | NPI | - | NPPES |
| 1000288 | Other | CA | BEHAVIORAL HEALTH ABA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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