Healthcare Provider Details

I. General information

NPI: 1174195010
Provider Name (Legal Business Name): KATHERINE EALER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2021
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 GENERAL COURTNEY HODGES BLVD. SUITE 902
PERRY GA
31069
US

IV. Provider business mailing address

316 DRAPER ST
WARNER ROBINS GA
31088-4160
US

V. Phone/Fax

Practice location:
  • Phone: 478-343-8896
  • Fax:
Mailing address:
  • Phone: 478-919-3674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2830651
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA003124
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: