Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUMMER MORIAH RUTH PETRILLI, BCBA
Active Sole ProprietorSUMMER MORIAH RUTH PETRILLI, BCBA is a Developmental Therapist healthcare provider located in FAIRFAX, Virginia. NPI 1104084219 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · FAIRFAX, VA
Registration Details
- NPI Number
- 1104084219
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 26, 2008 (18.22884374348 yrs)
- Last Updated
- Jan 14, 2022
- License
-
1-06-3131 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10530 WARWICK AVE STE C2FAIRFAX, VA, 220303132Browse VA providers · Browse ZIP 22030
- Phone
- 7037314766
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| NICOLE ALYSSA PELLICCIOTTO | MED, ABD | 1720200728 |
| SUSAN JONES | — | 1912365578 |
| SAMANTHA WATSON | — | 1861843211 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.