MEDICARE: KAITLYN HARRIS

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1568348415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLYN HARRIS

Provider Business Mailing Address
First Line	:	2733 E 12TH ST PH A2ND
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-4669
Country	:	US
Telephone Number	:	833-455-8622
Fax Number	:

Provider Business Practice Location Address
First Line	:	2733 E 12TH ST PH A2ND
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-4669
Country	:	US
Telephone Number	:	833-455-8622
Fax Number	:

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

Provider Enumeration Date	:	08/14/2025
Last Update Date	:	08/14/2025

Similar Medicare Providers

1649151143 — NGOZICHUKWU NKEIRUKA NNADOZIE
Practice Location Address:

2733 E 12TH ST PH 2ND
BROOKLYN, NY
11235-4669

Practice Phone: 833-455-8622
Practice Fax:

1871285387 — TAYLOR ANNE PRESTON
Practice Location Address:

2733 E 12TH ST
BROOKLYN, NY
11235-4669

Practice Phone: 833-455-8622
Practice Fax:

1477245926 — SHED CERTIFIED DIETITIAN- NUTRITION PLLC
Practice Location Address:

2733 E 12TH ST FL 2
BROOKLYN, NY
11235-4669

Practice Phone: 516-492-4578
Practice Fax:

1831881473 — TEXAS ABA ASSOCIATES PLLC
Practice Location Address:

2733 E 12TH ST FL 2
BROOKLYN, NY
11235-4669

Practice Phone: 732-841-6091
Practice Fax:

1578319372 — WILL GOMEZ II
Practice Location Address:

2733 E 12TH ST
BROOKLYN, NY
11235-4669

Practice Phone: 833-455-8622
Practice Fax:

1649151689 — KYLE F BROOKS
Practice Location Address:

2733 E 12TH ST PH 2ND
BROOKLYN, NY
11235-4669

Practice Phone: 833-455-8622
Practice Fax:

Directions to “ KAITLYN HARRIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.