Provider Demographics
NPI:1417406703
Name:NAWAB, BEBBYZAHRA RAMZIA (ASW)
Entity Type:Individual
Prefix:
First Name:BEBBYZAHRA
Middle Name:RAMZIA
Last Name:NAWAB
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:ZAHRA
Other - Middle Name:
Other - Last Name:NAWAB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:831 E ARROW HWY
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-2535
Mailing Address - Country:US
Mailing Address - Phone:909-398-4383
Mailing Address - Fax:909-398-1736
Practice Address - Street 1:831 E ARROW HWY
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767
Practice Address - Country:US
Practice Address - Phone:909-398-4383
Practice Address - Fax:909-398-1736
Is Sole Proprietor?:No
Enumeration Date:2016-09-27
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 101Y00000X
CA83118104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor