| NPI | 1194078279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMER MORIAH RUTH PETRILLI Owner 703-731-4766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000047) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2022-05-18 |