Individual
KELLY CREASMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
404 E CHATHAM ST, CARY, NC 27511-3484
(919) 695-1520
Mailing address
404 E CHATHAM ST, CARY, NC 27511-3484
(919) 695-1520
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26636
NC
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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