IndividualActive
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
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
Mailing address
5 Rutledge Ct
Sterling, VA 20165-6243
Additional practice locations (1)
- 5 Rutledge CtSterling, VA 20165-6243Phone: (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.