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NPI Code Detail

MEDICARE: THE INSTITUTE FOR BEHAVIOR CHANGE

MEDICARE: THE INSTITUTE FOR BEHAVIOR CHANGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC2200XClinical Child & Adolescent PsychologistPS-003680-LPA
2103TM1800XIntellectual & Developmental Disabilities PsychologistPS-003680-LPA
3103TS0200XSchool PsychologistPA

General Provider Information

NPI Number : 1801094560
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE INSTITUTE FOR BEHAVIOR CHANGE
Provider Business Mailing Address
First Line : 848 W KINGS HWY
Second Line :
City : COATESVILLE
State : PA
Zip : 19320-1714
Country : US
Telephone Number : 610-383-9494
Fax Number : 610-383-9494
Provider Business Practice Location Address
First Line : 848 W KINGS HWY
Second Line :
City : COATESVILLE
State : PA
Zip : 19320-1714
Country : US
Telephone Number : 610-383-9494
Fax Number : 610-383-9494
Authorized Official
Title or Position : LICENSED PSYCHOLOGIST
Name : MR. STEVEN ALBERT KOSSOR
Credential : MA
Telephone Number : 610-383-9494
Provider Enumeration Date : 07/04/2007
Last Update Date : 09/11/2025

Similar Medicare Providers

1043216062 — THE NETWORK FOR BEHAVIOR CHANGE
Practice Location Address:
848 W KINGS HWY
COATESVILLE, PA
19320-1714
Practice Phone: 610-383-9494
Practice Fax: 610-383-9494
1558367565 — MR. STEVEN ALBERT KOSSOR MA
Practice Location Address:
848 W KINGS HWY
COATESVILLE, PA
19320-1714
Practice Phone: 610-383-9494
Practice Fax: 610-383-9494
1720102650 — MS. MARTHA MARY DI PRINZIO MA
Practice Location Address:
848 W KINGS HWY
COATESVILLE, PA
19320-1714
Practice Phone: 610-524-8701
Practice Fax:
1548460033 — DR. DAVID C KOSSOR R.P. PH.D.
Practice Location Address:
848 W KINGS HWY
COATESVILLE, PA
19320-1714
Practice Phone: 908-797-3127
Practice Fax:
1437306651 — DR. PATRICK PROGAR PH.D.
Practice Location Address:
848 W KINGS HWY
COATESVILLE, PA
19320-1714
Practice Phone: 610-383-1432
Practice Fax:
1679940621 — ANTHONY J MOBILE
Practice Location Address:
821 W KINGS HWY
COATESVILLE, PA
19320-1714
Practice Phone: 610-500-4301
Practice Fax:

Directions to “THE INSTITUTE FOR BEHAVIOR CHANGE ” Practice Location

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