Individual
MRS. KATHY DICOSTANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
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
11936296
—
Other
Enumeration date
12/06/2019
Last updated
04/09/2026
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