Provider Demographics
NPI:1962809103
Name:KRAL, KIMBERLY (BCBA)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:KRAL
Suffix:
Gender:F
Credentials:BCBA
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Mailing Address - Street 1:19019 VENTURA BLVD
Mailing Address - Street 2:300
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-3253
Mailing Address - Country:US
Mailing Address - Phone:818-345-2345
Mailing Address - Fax:818-758-8015
Practice Address - Street 1:5400 SHAWNEE RD
Practice Address - Street 2:208
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-2300
Practice Address - Country:US
Practice Address - Phone:703-750-0633
Practice Address - Fax:703-750-0655
Is Sole Proprietor?:No
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA1-14-9593103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst