Individual
HAYLEY BREANNA MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2407 W LOUISIANA AVE STE 110, MIDLAND, TX 79701-5826
(325) 660-1600
Mailing address
2145 OFFICE PARK DR, SAN ANGELO, TX 76904-6803
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/05/2018
Last updated
07/15/2022
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