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Individual

MR. MICHAEL PERILLO III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA, LBA

Contact information

Practice address
14445 POTOMAC MILLS RD STE 8, WOODBRIDGE, VA 22192-6807
(954) 218-6510
Mailing address
542 AMHERST ST STE B, NASHUA, NH 03063-1016

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
06/18/2026
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