Individual provider · Type 1 NPI
Summer Moriah Ruth Petrilli, BCBA
Developmental Therapist · Fairfax, VA
Practice location
10530 Warwick Ave Ste C2
Fairfax, VA 22030-3132
Mailing address
5 Rutledge Ct
Sterling, VA 20165-6243
Other practice locations
- 5 Rutledge Ct, Sterling, VA 20165-6243 · (703) 731-4766
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 1-06-3131 (VA) |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
5 other providers at this address
- Alexander CallahanBehavior Analyst Fairfax, VA NPI 1922515832
- Amanda FerreiraBehavior Technician Fairfax, VA NPI 1093280687
- Ludovic MarieBehavior Technician Fairfax, VA NPI 1326503210
- Nicole MichonskiBehavior Technician Fairfax, VA NPI 1174014997
- Stephanie WoodsBehavior Technician Fairfax, VA NPI 1508357666
Other developmental therapist providers in Fairfax
About NPI 1104084219
Summer Moriah Ruth Petrilli, BCBA's National Provider Identifier is 1104084219, issued on May 26, 2008. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Fairfax, VA. The record was last updated on Jan 14, 2022.