Individual
MR. MICHAEL PERILLO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
5500 CHEROKEE AVE STE 120, ALEXANDRIA, VA 22312-2321
(703) 832-4934
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002119
VA
103K00000X
Behavior Analyst
1-14-17655
IL
103K00000X
Behavior Analyst
LBA1597
MD
Other
Enumeration date
03/16/2015
Last updated
01/12/2024
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