Provider Demographics
NPI:1508191917
Name:KIELAR, KRISTINE (MS, BCBA)
Entity Type:Individual
Prefix:MS
First Name:KRISTINE
Middle Name:
Last Name:KIELAR
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:MRS
Other - First Name:KRISTINE
Other - Middle Name:
Other - Last Name:FELIX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, BCBA
Mailing Address - Street 1:1011 BINGHAM ST
Mailing Address - Street 2:FRANKLIN BUILDING - 4TH FLOOR
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1101
Mailing Address - Country:US
Mailing Address - Phone:412-370-8370
Mailing Address - Fax:412-235-5387
Practice Address - Street 1:1011 BINGHAM ST
Practice Address - Street 2:FRANKLIN BUILDING - 4TH FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1101
Practice Address - Country:US
Practice Address - Phone:412-235-5433
Practice Address - Fax:412-235-5387
Is Sole Proprietor?:No
Enumeration Date:2009-10-03
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1073570103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst