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Organization

THE INSTITUTE FOR BEHAVIOR CHANGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN ALBERT KOSSOR MA (LICENSED PSYCHOLOGIST)
(610) 383-9494
Entity
Organization

Contact information

Practice address
848 W KINGS HWY, COATESVILLE, PA 19320-1714
(610) 383-9494
(610) 383-9494
Mailing address
848 W KINGS HWY, COATESVILLE, PA 19320-1714
(610) 383-9494
(610) 383-9494

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
PS-003680-L
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
PS-003680-L
PA
103TS0200X
School Psychologist
PA

Other

Enumeration date
07/04/2007
Last updated
09/11/2025
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