Summer Moriah Ruth Petrilli, BCBA

NPI #1104084219 in Fairfax, Virginia

Provider Information

NPI Number: 1104084219
Entity Type: Individual
Name: Summer Moriah Ruth Petrilli, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: BCBA
Enumeration Date: May 26, 2008
Last Updated: Jan 14, 2022

Practice Location

Address: 10530 WARWICK AVE STE C2
City: Fairfax
State: Virginia
ZIP Code: 22030-3132
Phone: (703) 731-4766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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