Provider Demographics
NPI:1013402064
Name:KAMARA, MARIAM (RBT)
Entity Type:Individual
Prefix:
First Name:MARIAM
Middle Name:
Last Name:KAMARA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24810 SONNY PATH CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3581
Mailing Address - Country:US
Mailing Address - Phone:832-535-4548
Mailing Address - Fax:
Practice Address - Street 1:24810 SONNY PATH CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-3581
Practice Address - Country:US
Practice Address - Phone:832-535-4548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-18-50032106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician