NPIMap

Organization Active NPI

Farr Beyond, LLC

  • Behavior Analyst
  • Sterling, VA
National Provider Identifier
1194078279
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133000047 Issued in VA
Legal business name
FARR BEYOND, LLC
Practice address
5 Rutledge CT
Sterling, VA 20165-6243
Phone
(703) 731-4766
NPI assigned
Oct 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Summer Moriah Ruth Petrilli, BCBA, LBANPI 1104084219
Title
Owner
Phone
(703) 731-4766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 0133000047 VA Primary

Addresses

Primary practice location

5 Rutledge CT
Sterling, VA 20165-6243

Mailing address

5 Rutledge CT
Sterling, VA 20165-6243
Phone (703) 606-1495

Other practice location 1

10530 Warwick Ave
Suite C2
Fairfax, VA 22030-3132
Phone (703) 994-4754

Other identifiers 1

IdentifierTypeStateIssuer
1969MedicaidVA

National Provider Directory

National Provider Directory

Locations

10530 Warwick Ave
Ste C2
Fairfax, VA 22030
Phone (703) 731-4766

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1194078279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RUTLEDGE CT",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656243",
            "telephone_number": "703-606-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 RUTLEDGE CT",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656243",
            "telephone_number": "703-731-4766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10530 Warwick Ave",
            "address_2": "Suite C2",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220303132",
            "country_code": "US",
            "telephone_number": "703-994-4754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FARR BEYOND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "PETRILLI",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_middle_name": "MORIAH RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-731-4766",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1969",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.