Individual
KHATUNA CONLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7420 FULLERTON RD STE 110, SPRINGFIELD, VA 22153-2836
(571) 463-7174
Mailing address
7919 TREESIDE CT, SPRINGFIELD, VA 22152-3441
(347) 489-5590
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
225700000X
Massage Therapist
025945
NY
Other
Enumeration date
12/27/2021
Last updated
11/10/2025
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