Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Alyssa Pellicciotto, MED, ABD

Individual provider Developmental Therapist · NPI 1720200728

Nicole Alyssa Pellicciotto, MED, ABD is a Developmental Therapist in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2007
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

11642 Leehigh Dr
Fairfax, VA 22030-5640
Phone: (703) 819-4697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (VA)

Record details

NPI number1720200728
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , ABD
Sole proprietorYes
NPI enumeratedMay 2, 2007
Last updated in NPPESJuly 8, 2007

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