Matara Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-26225

Legal business name

MATARA SERVICES LLC

Practice address

248 Pine St
Lakewood, NJ 08701-4831

Phone

(732) 800-1590

NPI assigned

Oct 16, 2017

Last updated

Oct 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Simcha Charnas, BCBANPI 1831611672

Title

Director

Phone

(732) 800-1590

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Simcha Charnas, MA BCBA

  • Behavior Analyst
  • Lakewood, NJ
  • NPI 1831611672
  NPD Authorized official

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1801307079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 PINE ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014831",
            "telephone_number": "732-800-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 PINE ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014831",
            "telephone_number": "732-800-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATARA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "CHARNAS",
        "authorized_official_first_name": "SIMCHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-800-1590",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-26225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.