Basic Information
| Provider Information | |||||||||
| NPI: | 1508191917 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KIELAR | ||||||||
| FirstName: | KRISTINE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MS, BCBA | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | FELIX | ||||||||
| OtherFirstName: | KRISTINE | ||||||||
| OtherMiddleName: | |||||||||
| OtherNamePrefix: | MRS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | MS, BCBA | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1011 BINGHAM ST | ||||||||
| Address2: | FRANKLIN BUILDING - 4TH FLOOR | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152031101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4123708370 | ||||||||
| FaxNumber: | 4122355387 | ||||||||
| Practice Location | |||||||||
| Address1: | 1011 BINGHAM ST | ||||||||
| Address2: | FRANKLIN BUILDING - 4TH FLOOR | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152031101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4122355433 | ||||||||
| FaxNumber: | 4122355387 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2009 | ||||||||
| LastUpdateDate: | 03/17/2021 | ||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| AuthorizedOfficialNamePrefix: | |||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 03/17/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 1073570 | PA | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.