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

Jevin Justin Mattathil

Individual provider Behavior Technician · NPI 1376178921

Jevin Justin Mattathil is a Behavior Technician in Elk Grove, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

2366 Maritime Dr
Elk Grove, CA 95758-3639
Phone: (916) 365-4500
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence F4982661 (CA)

Record details

NPI number1376178921
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 4, 2020
Last updated in NPPESMarch 4, 2020
Certification dateMarch 4, 2020

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