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Individual

KAROLINA KUTYLO MITRAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, BCBA

Contact information

Practice address
6800 PARAGON PL STE 200, RICHMOND, VA 23230-1652
(804) 562-9997
Mailing address
131 ELDEN ST STE 302, HERNDON, VA 20170-4851
(812) 610-9039

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002319
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0133002319
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
08/11/2016
Last updated
11/07/2025
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