Provider / Organization | NPI | Date Certified |
---|---|---|
JOSHUA MATA | 1700517919 | 2022-06-19 |
Joshua Mata is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1700517919. Registration indicates Joshua Mata is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
Entity Type | Individual |
Provider Name | Joshua Mata |
Practice Office Address | 2121 DOXEY DR SAN JOSE, CA US |
Practice Office Telephone | 9512085410 |
Mailing Address | 2121 DOXEY DR SAN JOSE, CA 951312665 US |
Business Telephone | 9512085410 |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |