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Organization
KAVANA BEHAVIORAL HEALTH LLC
Active
Organization
KAVANA BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVITAL Y DESKALO PH.D. (LICENSED PSYCHOLOGIST)
(414) 324-8283
Entity
Organization
Contact information
Practice address
277 S WASHINGTON ST STE 210, #1025, ALEXANDRIA, VA 22314
(414) 324-8283
(571) 506-6004
Mailing address
277 S WASHINGTON ST, SUITE 210, #1025, ALEXANDRIA, VA 22314-4127
(703) 249-9084
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
03/04/2024
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