# KAVANA BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609644087
- **Authorized official:** DR. AVITAL Y DESKALO PH.D. (LICENSED PSYCHOLOGIST)
- **Authorized official phone:** (414) 324-8283

## Contact information

- **Practice address:** 277 S WASHINGTON ST STE 210, \#1025, ALEXANDRIA, VA 22314
- **Practice address phone:** (414) 324-8283
- **Practice address fax:** (571) 506-6004
- **Mailing address:** 277 S WASHINGTON ST, SUITE 210, \#1025, ALEXANDRIA, VA 22314-4127
- **Mailing address phone:** (703) 249-9084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2023
- **Last updated:** 03/04/2024