Individual
KRYSTLE GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
131 ELDEN ST STE 302, HERNDON, VA 20170-4851
(703) 435-4021
Mailing address
1342 CORNING DR, CROWN POINT, IN 46307-8282
(773) 571-6330
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133004937
VA
103K00000X
Behavior Analyst
Primary
12042887
IL
103K00000X
Behavior Analyst
Primary
—
IL
103K00000X
Behavior Analyst
—
IN
Other
Enumeration date
07/13/2020
Last updated
03/16/2026
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