Individual
JENNIFER LYNN ATENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1936 OPITZ BLVD, WOODBRIDGE, VA 22191-3360
(540) 755-2937
Mailing address
4528 PLANK RD STE A3, FREDERICKSBURG, VA 22407-0141
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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