Individual
KYANA CREEKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 ELDEN ST STE 302, HERNDON, VA 20170-4851
(703) 496-4371
Mailing address
11280 CHATTERLY LOOP APT 302, MANASSAS, VA 20109-7860
(571) 532-9112
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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