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

NICOLE ALYSSA PELLICCIOTTO, MED, ABD

Active Sole Proprietor

NICOLE ALYSSA PELLICCIOTTO, MED, ABD is a Developmental Therapist healthcare provider located in FAIRFAX, Virginia. NPI 1720200728 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · FAIRFAX, VA

Registration Details

NPI Number
1720200728
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2007 (19.294924446327 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
11642 LEEHIGH DRIVE
FAIRFAX, VA, 220305640
Browse VA providers · Browse ZIP 22030
Phone
7038194697
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in FAIRFAX, VA

Name Credential NPI
SUMMER MORIAH RUTH PETRILLI BCBA 1104084219
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.