Provider Demographics
NPI:1861746539
Name:KARPINSKI MAURINO, KATHRYN JOY (MS)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:JOY
Last Name:KARPINSKI MAURINO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:KATHRYN
Other - Middle Name:JOY
Other - Last Name:KARPINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1716 BROCKTON AVE
Mailing Address - Street 2:#102
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-3850
Mailing Address - Country:US
Mailing Address - Phone:323-270-8624
Mailing Address - Fax:
Practice Address - Street 1:16946 SHERMAN WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3613
Practice Address - Country:US
Practice Address - Phone:818-235-1414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-02
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-12-12155103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst