| Kavana Behavioral Health Llc | |
|
277 S Washington St Ste 210 #1025 Alexandria VA 22314 | |
| (414) 324-8283 | |
| (571) 506-6004 |
| Full Name | Kavana Behavioral Health Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 277 S Washington St Ste 210, Alexandria, Virginia |
| Authorized Official Name and Position | Avital Y Deskalo (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4143248283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kavana Behavioral Health Llc 277 S Washington St, Suite 210, #1025 Alexandria VA 22314-4127 Ph: (703) 249-9084 | Kavana Behavioral Health Llc 277 S Washington St Ste 210 #1025 Alexandria VA 22314 Ph: (414) 324-8283 |
| NPI Number | 1609644087 |
|---|---|
| Provider Enumeration Date | 12/15/2023 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609644087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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