MEDICARE: KATELYN EILAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst		AZ

General Provider Information

NPI Number	:	1467316521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATELYN EILAR

Provider Business Mailing Address
First Line	:	1970 52ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1731
Country	:	US
Telephone Number	:	866-352-5010
Fax Number	:

Provider Business Practice Location Address
First Line	:	1970 52ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1731
Country	:	US
Telephone Number	:	866-352-5010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	03/23/2026

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Directions to “ KATELYN EILAR ” Practice Location

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