Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angelito Mata Jr.

Individual provider Behavior Technician · NPI 1336819523

Angelito Mata Jr. is a Behavior Technician in San Jose, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

4030 Moorpark Ave Ste 105
San Jose, CA 95117-1848
Phone: (669) 205-1778
Fax: (855) 568-2494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1336819523
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 17, 2021
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 17, 2021

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