Provider Demographics
NPI:1841026317
Name:KAMARA, SAFFIE HAJA
Entity type:Individual
Prefix:
First Name:SAFFIE
Middle Name:HAJA
Last Name:KAMARA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14730 4TH ST APT 129
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-3719
Mailing Address - Country:US
Mailing Address - Phone:240-795-7267
Mailing Address - Fax:
Practice Address - Street 1:14730 4TH ST APT 129
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-3719
Practice Address - Country:US
Practice Address - Phone:240-795-7267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician