Michael Matamua, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-19-10195 Issued in CA

Practice address

2929 Coors Blvd NW
Albuquerque, NM 87120-1173

Phone

(505) 788-6770

NPI assigned

Oct 3, 2024

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1841019221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4147 SUMMIT PARK RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871441601",
            "telephone_number": "808-277-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 COORS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201173",
            "telephone_number": "505-788-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAMUA",
        "first_name": "MICHAEL",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "0-19-10195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianka Mata-Gutierrez
• Bryanna Mata-Gutierrez
• Paula L. Mata-Molina, MD
• David Mata
• Helen Mata
• Omar Matar, MD
• Marcy Matasick, M.S.
• Monica Elizabeth Matejczuk
• John William Matheny
• Virginia Marie Mathes, MS, RD, LD

• Assistant Behavior Analyst in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Assistant Behavior Analyst in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.