Julio Mata, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-36713 Issued in CA

Practice address

2139 S Cloverdale Ave
Los Angeles, CA 90016-1211

Phone

(323) 422-0853

Fax

(323) 372-3970

NPI assigned

Jun 21, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empowered Behavior Solutions

  • Behavior Analyst
  • Los Angeles, CA
  • NPI 1952989196
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1437710381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 S CLOVERDALE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900161211",
            "telephone_number": "323-422-0853",
            "fax_number": "323-372-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 S CLOVERDALE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900161211",
            "telephone_number": "323-422-0853",
            "fax_number": "323-372-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATA",
        "first_name": "JULIO",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-21",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-19-36713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Jesse Mata
• Claudia Mata
• Emmanuel Mata, RD
• Hector Mata
• Josie Mata
• Kenneth Paul Mata
• Maryjane Mata
• Michael Anthony Mata, CRNA
• Yadira Yvette Mata
• Faasalalau Mataalii

• Behavior Analyst in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.