Provider Demographics
NPI:1912260589
Name:PYLADAKI, EFTYMIA M (BCBA, LMFT)
Entity Type:Individual
Prefix:
First Name:EFTYMIA
Middle Name:M
Last Name:PYLADAKI
Suffix:
Gender:F
Credentials:BCBA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 N ROBERTSON BLVD
Mailing Address - Street 2:STE 421
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1705
Mailing Address - Country:US
Mailing Address - Phone:310-985-0372
Mailing Address - Fax:
Practice Address - Street 1:3611 MOTOR AVE
Practice Address - Street 2:STE 110
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-5748
Practice Address - Country:US
Practice Address - Phone:310-985-0372
Practice Address - Fax:310-943-6813
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1095670103K00000X
CA50310106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist