Provider Demographics
NPI:1790530996
Name:KAMARA, MUSA L (BCBA)
Entity type:Individual
Prefix:
First Name:MUSA
Middle Name:L
Last Name:KAMARA
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48-6 REVERE RD APT 6
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-5367
Mailing Address - Country:US
Mailing Address - Phone:646-683-0348
Mailing Address - Fax:
Practice Address - Street 1:48-6 REVERE RD APT 6
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-5367
Practice Address - Country:US
Practice Address - Phone:646-683-0348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1-23-67330103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst