| Skyward Behavioral Health, Pllc | |
|
14367 Ashland Rd Glen Allen VA 23059-1602 | |
| (804) 972-5272 | |
| (804) 800-4787 |
| Full Name | Skyward Behavioral Health, Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 14367 Ashland Rd, Glen Allen, Virginia |
| Authorized Official Name and Position | Kathy Dicostanzo (BCBA/ OWNER) |
| Authorized Official Contact | 8049725272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyward Behavioral Health, Pllc 14367 Ashland Rd Glen Allen VA 23059-1602 Ph: (804) 972-5272 | Skyward Behavioral Health, Pllc 14367 Ashland Rd Glen Allen VA 23059-1602 Ph: (804) 972-5272 |
| NPI Number | 1437931383 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437931383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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