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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUMMER MORIAH RUTH PETRILLI, BCBA

Active Sole Proprietor

SUMMER 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 C2
FAIRFAX, VA, 220303132
Browse 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.