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

Individual provider Behavior Technician · NPI 1477015204

Carolyn De la Mata is a Behavior Technician in New York, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

400 W 43rd St Apt 16T
New York, NY 10036-6307
Phone: (914) 620-2214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 013384 (NY)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1477015204
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023

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