Provider Demographics
NPI:1225839012
Name:NDIRANGU, ALEX
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:NDIRANGU
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 MONADNOCK ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-4167
Mailing Address - Country:US
Mailing Address - Phone:603-757-8307
Mailing Address - Fax:
Practice Address - Street 1:37 NEW YORK ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-1727
Practice Address - Country:US
Practice Address - Phone:603-757-8307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst