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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