Individual
MRS. ALLISON MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3045 S ARCHIBALD AVE, STE H-1043, ONTARIO, CA 91761-9001
(855) 832-6727
(772) 675-9100
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(185) 583-2672
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32885
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-32885
BACB
CA
Enumeration date
05/11/2017
Last updated
02/11/2026
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