Provider Demographics
NPI:1346525482
Name:KAMAU, LINCOLN ZAKARIAH (MA, MED, BCBA)
Entity Type:Individual
Prefix:
First Name:LINCOLN
Middle Name:ZAKARIAH
Last Name:KAMAU
Suffix:
Gender:M
Credentials:MA, MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PLAZA ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:CT
Mailing Address - Zip Code:06234-3326
Mailing Address - Country:US
Mailing Address - Phone:401-615-2600
Mailing Address - Fax:401-615-2408
Practice Address - Street 1:10 PLAZA ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:CT
Practice Address - Zip Code:06234-3326
Practice Address - Country:US
Practice Address - Phone:401-615-2600
Practice Address - Fax:401-615-2408
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI1-10-7244103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst