Provider Demographics
NPI:1316194608
Name:BELENCAIA, ADRIANA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:ADRIANA
Middle Name:
Last Name:BELENCAIA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8736 SIERRA VIEW CT
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3175
Mailing Address - Country:US
Mailing Address - Phone:909-724-8564
Mailing Address - Fax:
Practice Address - Street 1:8736 SIERRA VIEW CT
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3175
Practice Address - Country:US
Practice Address - Phone:909-724-8564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPE 4986235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist