Kathy Dicostanzo, BCBA
Behavior Analyst in Glen Allen, VA. Individual provider (NPI-1).
NPI number1891332003
StatusActive
Last updated in NPPESApr 9, 2026
Details
- NPI
- 1891332003
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kathy Dicostanzo
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2019
- Certification date
- Apr 9, 2026
- Last updated
- Apr 9, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 11936296 | – | Yes |
Practice location
14367 Ashland RdGlen Allen, VA 23059-1602
Phone 804-972-5272 · Fax 804-800-4787
Mailing address
14367 Ashland RdGlen Allen, VA 23059-1602
Phone 804-972-5272 · Fax 804-800-4787
Other practice locations
34990 Emerald Coast Pkwy Ste 356
Destin, FL 32541-8662
Destin, FL 32541-8662
Phone 804-972-5272 · Fax 804-800-4787
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 35 Behavior Analyst providers in Glen Allen · All 1,685 providers in Glen Allen
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