Provider Demographics
NPI:1043997752
Name:NGAREGA, PAULA WAMBUI
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:WAMBUI
Last Name:NGAREGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 STEVENS ST APT 10
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851-1722
Mailing Address - Country:US
Mailing Address - Phone:978-421-6808
Mailing Address - Fax:
Practice Address - Street 1:240 PLEASANT ST STE 1
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-7134
Practice Address - Country:US
Practice Address - Phone:978-209-0555
Practice Address - Fax:978-209-0600
Is Sole Proprietor?:No
Enumeration Date:2023-07-04
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10000286103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst