Individual
VANESSA PETRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
212 OLDE CHIMNEY RD, ROANOKE RAPIDS, NC 27870-7529
(772) 359-8738
Mailing address
212 OLDE CHIMNEY RD, ROANOKE RAPIDS, NC 27870-7529
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001014
VA
103K00000X
Behavior Analyst
LPA00147
RI
Other
Enumeration date
02/11/2020
Last updated
01/27/2024
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