SUMMER MORIAH RUTH PETRILLI BCBA
NPI 1104084219
Developmental Therapist in Fairfax, VA

NPI Status: Active since May 26, 2008

Contact Information

10530 WARWICK AVE STE C2
FAIRFAX, VA
ZIP 22030
Phone: (703) 731-4766

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  • Individual
  • Female
  • Developmental Therapist

About SUMMER PETRILLI

This page provides the complete NPI Profile along with additional information for Summer Petrilli, a provider established in Fairfax, Virginia with a medical specialization in Developmental Therapist. The healthcare provider is registered in the NPI registry with number 1104084219 assigned on May 2008. The practitioner's primary taxonomy code is 222Q00000X with license number 1-06-3131 (VA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1104084219
Provider Name
SUMMER MORIAH RUTH PETRILLI BCBA
Gender
Female
Entity Type
Individual
Location Address
10530 WARWICK AVE STE C2 FAIRFAX, VA 22030
Location Phone
(703) 731-4766
Mailing Address
5 RUTLEDGE CT STERLING, VA 20165
Mailing Phone
(703) 731-4766
Is Sole Proprietor?
Yes
Enumeration Date
05-26-2008
Last Update Date
01-14-2022
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Location Map

Secondary Locations

  • 5 Rutledge Ct
    Sterling, VA 20165
    (703) 731-4766

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Developmental Therapist

Taxonomy Code
222Q00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
1-06-3131
License State
VA
Taxonomy Description
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 Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104084219
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210408822
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 0 + 8 + 8 + 2 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1104084219 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922515832 ALEXANDER CALLAHAN
Individual
Behavior Analyst10530 WARWICK AVE STE C2
FAIRFAX, VA 22030
(703) 994-4754
1508357666 STEPHANIE WOODS
Individual
Behavior Technician10530 WARWICK AVE STE C2
FAIRFAX, VA 22030
(703) 994-4754
1174014997 NICOLE MICHONSKI
Individual
Behavior Technician10530 WARWICK AVE STE C2
FAIRFAX, VA 22030
(703) 944-4754
1093280687 AMANDA FERREIRA
Individual
Behavior Technician10530 WARWICK AVE STE C2
FAIRFAX, VA 22030
(703) 994-4754
1598234627 REBECCA WHILBY
Individual
Behavior Technician10530 WARWICK AVE STE C2
FAIRFAX, VA 22030
(703) 994-4754
1003385022 HEATHER BRAVO
Individual
Behavior Technician10530 WARWICK AVE STE C2
FAIRFAX, VA 22030
(703) 994-4754
1326503210 LUDOVIC MARIE
Individual
Behavior Technician10530 WARWICK AVE STE C2
FAIRFAX, VA 22030
(704) 994-4754

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104084219, enumerated in the NPI registry as an "individual" on May 26, 2008

The provider is located at 10530 Warwick Ave Ste C2 Fairfax, Va 22030 and the phone number is (703) 731-4766

The provider's speciality is Developmental Therapist with taxonomy code 222Q00000X

This NPI record was last updated on May 26, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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