DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RENAT MATALON BCBA, LBA

MEDICARE: RENAT MATALON BCBA, LBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-04-1918FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407153794
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENAT MATALON BCBA, LBA
Provider Business Mailing Address
First Line : 996 ROYAL MARCO WAY
Second Line :
City : MARCO ISLAND
State : FL
Zip : 34145-1829
Country : US
Telephone Number : 949-633-7742
Fax Number :
Provider Business Practice Location Address
First Line : 2560 HUNTINGTON AVE STE 104
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22303-1448
Country : US
Telephone Number : 866-565-7222
Fax Number : 877-734-1914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2011
Last Update Date : 08/04/2025

Similar Medicare Providers

1750056107 — FRANCISCO JAVIER BARALT MIRO
Practice Location Address:
2560 HUNTINGTON AVE STE 104
ALEXANDRIA, VA
22303-1448
Practice Phone: 571-444-5047
Practice Fax:
1891852513 — DR. LISA NAVA PH.D.
Practice Location Address:
2560 HUNTINGTON AVE STE 302
ALEXANDRIA, VA
22303-1448
Practice Phone: 703-765-7414
Practice Fax:
1790808392 — DR. CARA CICERO PSY.D.
Practice Location Address:
2560 HUNTINGTON AVE STE 302
ALEXANDRIA, VA
22303-1448
Practice Phone: 703-768-6240
Practice Fax:
1982820312 — DR. LINDA JOHNSON PH.D.
Practice Location Address:
2560 HUNTINGTON AVE STE 302
ALEXANDRIA, VA
22303-1448
Practice Phone: 703-765-6115
Practice Fax: 703-765-6115
1003003427 — JENNIFER MCEWAN PH.D.
Practice Location Address:
2560 HUNTINGTON AVE STE 302
ALEXANDRIA, VA
22303-1448
Practice Phone: 703-765-1400
Practice Fax:
1609226463 — COLLEEN BENSTEIN LMFT
Practice Location Address:
2560 HUNTINGTON AVE STE 302
ALEXANDRIA, VA
22303-1448
Practice Phone: 703-768-6240
Practice Fax:

Directions to “ RENAT MATALON BCBA, LBA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.