Renat Matalon, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-04-1918 Issued in FL

Practice address

2560 Huntington Ave Ste 104
Alexandria, VA 22303-1448

Phone

(866) 565-7222

Fax

(877) 734-1914

NPI assigned

Feb 22, 2011

Last updated

Aug 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Your Life ABA VA, LLC

  • Behavior Analyst
  • New York, NY
  • NPI 1023772001
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1407153794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 ROYAL MARCO WAY",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341451829",
            "telephone_number": "949-633-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 HUNTINGTON AVE STE 104",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031448",
            "telephone_number": "866-565-7222",
            "fax_number": "877-734-1914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27990 Sherman Rd",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925859155",
            "country_code": "US",
            "telephone_number": "951-309-9135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATALON",
        "first_name": "RENAT",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2025-08-04",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-04-1918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407153794",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dina R Masri, BEHAVIOR TECHNICIAN
• Phenories Massenburg
• Sophia Maria Mastakas, LCSW
• Jan L Master, CRNP
• Alayna Celistina Mata
• Somayah Mateen
• Louis Philippe Mateus, PSY.D.
• Liana E Matevosian, NP
• Geetha Rebecca Mathew, MD
• Jeffy Mary Mathew

• Behavior Analyst in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.