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NPI Code Detail

MEDICARE: EFTHYMIA M PYLADAKI

MEDICARE: EFTHYMIA M PYLADAKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1095670CA
2106H00000XMarriage & Family Therapist50310CA

General Provider Information

NPI Number : 1912260589
Entity Type Code : Individual
Provider Name (Legal Business Name) : EFTHYMIA M PYLADAKI
Provider Business Mailing Address
First Line : 1040 FLYNN RD
Second Line :
City : CAMARILLO
State : CA
Zip : 93012-5092
Country : US
Telephone Number : 805-673-3930
Fax Number :
Provider Business Practice Location Address
First Line : 4279 TIERRA REJADA RD
Second Line :
City : MOORPARK
State : CA
Zip : 93021-3775
Country : US
Telephone Number : 805-222-2323
Fax Number : 805-222-2333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2012
Last Update Date : 09/19/2024

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Directions to “ EFTHYMIA M PYLADAKI ” Practice Location

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