NPI 1104084219

Summer Moriah Ruth Petrilli, BCBA

Practitioner Developmental Therapist Fairfax, VA

Practice location

Address: 10530 Warwick Ave STE C2, Fairfax, VA 22030-3132
Phone: (703) 731-4766
Mailing address: 5 Rutledge CT, Sterling, VA 20165-6243

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X Licence 1-06-3131 (VA)

Other Developmental Therapist providers in Virginia →

Registry record

NPI: 1104084219
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 May 2008
Record last updated: 14 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.