Kathy Dicostanzo, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11936296

Practice address

14367 Ashland Rd
Glen Allen, VA 23059-1602

Phone

(804) 972-5272

Fax

(804) 800-4787

NPI assigned

Dec 6, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Skyward Behavioral Health, PLLC

  • Behavior Analyst
  • Glen Allen, VA
  • NPI 1437931383
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1891332003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14367 ASHLAND RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230591602",
            "telephone_number": "804-972-5272",
            "fax_number": "804-800-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14367 ASHLAND RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230591602",
            "telephone_number": "804-972-5272",
            "fax_number": "804-800-4787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34990 Emerald Coast Pkwy Ste 356",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325418662",
            "country_code": "US",
            "telephone_number": "804-972-5272",
            "fax_number": "804-800-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICOSTANZO",
        "first_name": "KATHY",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "11936296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Glen Allen, VA
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.