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Organization
SKYWARD BEHAVIORAL HEALTH, PLLC
Active
Organization
SKYWARD BEHAVIORAL HEALTH, PLLC
Active
Other names
Skyward Behavioral Health, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY DICOSTANZO BCBA, LBA (BCBA/ OWNER)
(804) 972-5272
Entity
Organization
Contact information
Practice address
14367 ASHLAND RD, GLEN ALLEN, VA 23059-1602
(804) 972-5272
(804) 800-4787
Mailing address
14367 ASHLAND RD, GLEN ALLEN, VA 23059-1602
(804) 972-5272
(804) 800-4787
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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