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

Jacob Mata

Individual provider Behavior Technician · NPI 1104438670

Jacob Mata is a Behavior Technician in Pasadena, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380
Phone: (818) 241-6780
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 number1104438670
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 17, 2020
Last updated in NPPESAugust 17, 2020
Certification dateAugust 17, 2020
Mailing address1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380

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