Individual
ALIYA MADELYNN MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9314 RYDER DR, SAN ANTONIO, TX 78254-2000
(210) 346-8695
Mailing address
9314 RYDER DR, SAN ANTONIO, TX 78254-2000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TX
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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