Active NPI
Kelly Creasman, BCBA
- Behavior Analyst
- Cary, NC
National Provider Identifier
1033630272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-26636
- Practice address
- 404 E Chatham St
Cary, NC 27511-3484 - Phone
- (919) 695-1520
- NPI assigned
- Jun 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-17-26636 | NC | Primary |
Addresses
Primary practice location
404 E Chatham St
Cary, NC 27511-3484
Mailing address
470 Jenkins Valley Rd
Alexander, NC 28701-8710
Phone (919) 695-1520
Other practice location 1
3000 Bethesda Pl Ste 202
Winston Salem, NC 27103-3324
Phone (252) 751-0518
Other practice location 2
108 W Fire Tower Rd Ste G
Winterville, NC 28590-8408
Phone (252) 751-0518
Other practice location 3
470 Jenkins Valley Rd
Alexander, NC 28701-8710
Phone (919) 695-1520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Land Stewards LLC | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Alexander, NC
- NPI 1033933379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1033630272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 JENKINS VALLEY RD",
"city": "ALEXANDER",
"state": "NC",
"postal_code": "287018710",
"telephone_number": "919-695-1520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 E CHATHAM ST",
"city": "CARY",
"state": "NC",
"postal_code": "275113484",
"telephone_number": "919-695-1520"
}
],
"practiceLocations": [
{
"address_1": "3000 Bethesda Pl Ste 202",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271033324",
"country_code": "US",
"telephone_number": "252-751-0518",
"fax_number": "252-751-0518",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "108 W Fire Tower Rd Ste G",
"address_purpose": "LOCATION",
"city": "Winterville",
"state": "NC",
"postal_code": "285908408",
"country_code": "US",
"telephone_number": "252-751-0518",
"fax_number": "252-565-4505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "470 Jenkins Valley Rd",
"address_purpose": "LOCATION",
"city": "Alexander",
"state": "NC",
"postal_code": "287018710",
"country_code": "US",
"telephone_number": "919-695-1520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CREASMAN",
"first_name": "KELLY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-28",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1-17-26636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.