| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JULIO MATA | 1437710381 | 2021-07-12 |
Julio Mata is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1437710381. Registration indicates Julio Mata is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Behavioral Analyst (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Julio Mata BCBA |
| Practice Office Address | 2139 S CLOVERDALE AVE LOS ANGELES, CA US |
| Practice Office Telephone | 3234220853 |
| Practice Office Fax | 3233723970 |
| Mailing Address | 2139 S CLOVERDALE AVE LOS ANGELES, CA 900161211 US |
| Business Telephone | 3234220853 |
| Business Fax | 3233723970 |
| Code | Practice | License No State |
|---|---|---|
| 103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers | 1-19-36713
CA |