Organization
BACK TO BASICS BEHAVIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA EILEEN LAMANTIA BCBA (MEMBER)
(323) 762-5006
Entity
Organization
Contact information
Practice address
5101 SANTA MONICA BLVD STE 8, LOS ANGELES, CA 90029-2480
(323) 762-5006
Mailing address
5101 SANTA MONICA BOULEVARD, STE 8 PMB 1393, LOS ANGELES, CA 90029
(323) 762-5006
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
04/10/2025
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