Active NPI
Kyana Creekmore
- Behavior Technician
- Herndon, VA
National Provider Identifier
1619830403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 131 Elden St Ste 302
Herndon, VA 20170-4851 - Phone
- (703) 496-4371
- NPI assigned
- Dec 8, 2025
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
131 Elden St Ste 302
Herndon, VA 20170-4851
Mailing address
11280 Chatterly Loop Apt 302
Manassas, VA 20109-7860
Phone (571) 532-9112
Other practice location 1
24805 Pinebrook Rd Ste 312
Chantilly, VA 20152-4128
Phone (703) 496-4371
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 |
|---|---|---|---|
| Autism First, LLC | Behavior Technician | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1619830403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11280 CHATTERLY LOOP APT 302",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201097860",
"telephone_number": "571-532-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 ELDEN ST STE 302",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704851",
"telephone_number": "703-496-4371"
}
],
"practiceLocations": [
{
"address_1": "24805 Pinebrook Rd Ste 312",
"address_purpose": "LOCATION",
"city": "Chantilly",
"state": "VA",
"postal_code": "201524128",
"country_code": "US",
"telephone_number": "703-496-4371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CREEKMORE",
"first_name": "KYANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-08",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.