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Summer Petrilli, BCBA — NPI 1104084219, Fairfax, VA | NPI Central

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NPI 1104084219

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Summer Petrilli, BCBA

NPI 1104084219 · Developmental Therapist · Fairfax, VA

Provider details

NPI number: 1104084219
Entity type: Individual
Primary specialty: Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: BCBA
Sex: Female
Sole proprietor: Yes
License: 1-06-3131 (VA)

Specialties & taxonomies

Developmental TherapistPrimary222Q00000XLicense 1-06-3131 (VA)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Practice location

10530 Warwick Ave Ste C2

Fairfax, VA 22030-3132

Phone: (703) 731-4766

Approximate (ZIP-level) locationGet directions

More VA providers

Mailing address

5 Rutledge Ct

Sterling, VA 20165-6243

Additional practice locations (1)

5 Rutledge Ct
Sterling, VA 20165-6243
Phone: (703) 731-4766

Registry dates

Enumerated: 2008-05-26
Last updated: 2022-01-14
Certified: 2022-01-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.