Healthcare Provider Details

I. General information

NPI: 1114853447
Provider Name (Legal Business Name): TERESIA M KAMAU COA,CNA,RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 LOUISA AVE STE 110
VIRGINIA BEACH VA
23454-4669
US

IV. Provider business mailing address

416 S INDEPENDENCE BLVD # 319
VIRGINIA BEACH VA
23452-1106
US

V. Phone/Fax

Practice location:
  • Phone: 757-350-8104
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: