Provider Demographics
NPI:1861937914
Name:LAMANTIA, LAURA EILEEN (MA)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:EILEEN
Last Name:LAMANTIA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5101 SANTA MONICA BOULEVARD
Mailing Address - Street 2:STE 8 PMB 1393
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711
Mailing Address - Country:US
Mailing Address - Phone:323-762-5006
Mailing Address - Fax:
Practice Address - Street 1:5101 SANTA MONICA BLVD STE 8
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-2480
Practice Address - Country:US
Practice Address - Phone:917-539-2803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-28
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst