Individual
REBEKAH LEE ATENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
5342 GUINEA RD, FAIRFAX, VA 22032-3935
(480) 382-6618
Mailing address
5342 GUINEA RD, FAIRFAX, VA 22032-3935
(602) 881-8525
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11668
MD
235Z00000X
Speech-Language Pathologist
2203001029
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11668
MARYLANDDEPARTMENTOFHEALTH
MD
01
—
14378360
ASHA
—
01
—
2203001029
VIRGINIADEPARTMENTOFHEALTHPROFESSIONS
VA
Enumeration date
04/01/2019
Last updated
09/12/2025
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