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As the roles and responsibilities of instructional assistants increases in K-12 schools, providing appropriate professional development for them because paramount. With backgrounds often significantly different than a teacher, using the same professional development likely won’t be effective. This research explores the impacts of a yearlong mathematics professional development designed specifically for instructional assistants. The professional development was designed to help build instructional assistants’ sense of confidence and efficacy while providing additional math content and pedagogical content knowledge. Using a modified version of the MTEBI, statistically significant increases in instructional assistant mathematics self-efficacy was found from the beginning to the end of the professional development.