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Nicole Alyssa Pellicciotto, MED,ABD
Developmental Therapist in Fairfax, Virginia
NPI 1720200728

Nicole Alyssa Pellicciotto is a Developmental Therapist based in Fairfax, VA. Nicole Alyssa Pellicciotto practices in Fairfax, VA and has the professional credentials of MED,ABD. The NPI Number for Nicole Alyssa Pellicciotto is 1720200728 and holds a License No. (Virginia).

The current practice location address for Nicole Alyssa Pellicciotto is 11642 Leehigh Drive, Fairfax, VA and can be reached out via phone at 703-819-4697.

Location: 11642 Leehigh Drive, Fairfax, VA, 22030-5640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720200728
Provider Name
Nicole Alyssa Pellicciotto
Credential
MED,ABD
Provider Entity Type
Individual
Gender
Female
Address
11642 Leehigh Drive, Fairfax, VA, 22030-5640
Phone Number
703-819-4697
Fax Number
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
222Q00000X 01 VA DEVELOPMENTAL
institution
Provider Business Practice Location Address Details
Address
11642 Leehigh Drive
City
Fairfax
State
Virginia
Zip
22030-5640
Phone Number
703-819-4697
Fax Number
person
Provider Business Mailing Address Details
Address
11642 Leehigh Drive
City
Fairfax
State
Virginia
Zip
22030-5640
Phone Number
703-819-4697
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Developmental Therapist
Speciality
-
Taxonomy
222Q00000X
License No.
(Virginia)
Definition
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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