Provider Demographics
NPI:1104315969
Name:REIS, PAULA ALEXANDRA PEREIRA (MS ABA)
Entity type:Individual
Prefix:MRS
First Name:PAULA ALEXANDRA
Middle Name:PEREIRA
Last Name:REIS
Suffix:
Gender:F
Credentials:MS ABA
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Mailing Address - Street 1:391 VARNUM AVE
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01854-2119
Mailing Address - Country:US
Mailing Address - Phone:978-455-3397
Mailing Address - Fax:978-459-9096
Practice Address - Street 1:391 VARNUM AVE
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-2119
Practice Address - Country:US
Practice Address - Phone:978-455-3397
Practice Address - Fax:978-459-9096
Is Sole Proprietor?:No
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health