Joshua Wanganga, LABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

21 Annis St
North Andover, MA 01845-3401

Phone

(978) 289-7258

NPI assigned

Jul 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Jecc Behavioral Center

  • Addiction (Substance Use Disorder) Counselor
  • North Andover, MA
  • NPI 1215697131
  NPD
• Brighten Community Support Center

  • Pediatric Neurodevelopmental Disabilities Physician
  • North Andover, MA
  • NPI 1326935008
  NPD (past)

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1609509751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ANNIS ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018453401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ANNIS ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018453401",
            "telephone_number": "978-289-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANGANGA",
        "first_name": "JOSHUA",
        "credential": "LABA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catheleen E Wallent, MD
• Meagan Danielle Walsh, MS
• Walter H. Jacobs, MD, PC
• David Wei Wang, DMD
• Zicong Wang
• Kevin C. Ward, DPT
• Nancy Watson
• Heather Watt, LCSW
• Alexander Peter Webb, COTA/L
• Rebecca Webb, NP-C

• Behavior Analyst in North Andover, MA
• Providers in North Andover, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.