Salwa Salib Matta, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-10197 Issued in CA

Practice address

19019 Ventura Blvd
Tarzana, CA 91356-3253

Phone

(818) 501-8352

NPI assigned

Oct 22, 2015

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 names 1

• Salwa Farag Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1831561430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19019 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563253",
            "telephone_number": "818-501-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19019 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563253",
            "telephone_number": "818-501-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIB MATTA",
        "first_name": "SALWA",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-10197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALWA",
            "last_name": "FARAG",
            "credential": "MA, BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jose Salazar
• Jeffrey Philip Salberg, M.D.
• Victor Saldana
• Jacob Saleh, MD
• Fara Salehi, D.D.S.
• Boules Salib, MD, MPH
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• Saman Lashkari, MD. Inc.
• Madelyne Samayoa-Cabrera
• Serge Samboul

• Behavior Analyst in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.