1508191917 NPI number — MS. KRISTINE KIELAR MS, BCBA

Table of content: MS. KRISTINE KIELAR MS, BCBA (NPI 1508191917)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508191917 NPI number — MS. KRISTINE KIELAR MS, BCBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KIELAR
Provider First Name:
KRISTINE
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MS, BCBA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FELIX
Provider Other First Name:
KRISTINE
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS, BCBA
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1508191917
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/17/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1011 BINGHAM ST
Provider Second Line Business Mailing Address:
FRANKLIN BUILDING - 4TH FLOOR
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15203-1101
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-370-8370
Provider Business Mailing Address Fax Number:
412-235-5387

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1011 BINGHAM ST
Provider Second Line Business Practice Location Address:
FRANKLIN BUILDING - 4TH FLOOR
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15203-1101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-235-5433
Provider Business Practice Location Address Fax Number:
412-235-5387
Provider Enumeration Date:
10/03/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X , with the licence number:  1073570 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)