Individual
MR. ANTONIO NEVAREZ PENUELAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 WEST CHESTNUT AVE, LOMPOC, CA 93436
(805) 740-4555
(805) 740-4558
Mailing address
PO BOX 221433, SACRAMENTO, CA 95822-8433
(916) 207-2315
(866) 379-0937
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/28/2009
Last updated
01/24/2023
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