Provider Demographics
NPI:1760852842
Name:SMITH, YRAMNNA (PSYD, LMFT, BCBA)
Entity Type:Individual
Prefix:DR
First Name:YRAMNNA
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:PSYD, LMFT, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2716 OCEAN PARK BLVD STE 1025
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-5255
Mailing Address - Country:US
Mailing Address - Phone:310-392-0835
Mailing Address - Fax:310-622-4155
Practice Address - Street 1:2716 OCEAN PARK BLVD STE 1025
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405
Practice Address - Country:US
Practice Address - Phone:310-392-0835
Practice Address - Fax:310-622-4155
Is Sole Proprietor?:No
Enumeration Date:2015-10-01
Last Update Date:2018-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11410167103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst