Antonio Nevarez Penuelas Jr.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

120 West Chestnut Ave
Lompoc, CA 93436

Phone

(805) 740-4555

Fax

(805) 740-4558

NPI assigned

Jul 28, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paragon ABA LLC

  • Behavior Analyst
  • Sacramento, CA
  • NPI 1073101374
  NPD Authorized official

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1669603445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221433",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958228433",
            "telephone_number": "916-207-2315",
            "fax_number": "866-379-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WEST CHESTNUT AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "805-740-4555",
            "fax_number": "805-740-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENUELAS",
        "first_name": "ANTONIO",
        "middle_name": "NEVAREZ",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Path to Peace, a Licensed Clinical Social Worker, P.C.
• Katrina Payne
• Izayah Tristan Pedroza
• Alejandro Pena
• Mayra Alexandra Peng, PA-C
• Cynthia Pereira
• Luvinia Johanna Perez
• Nancy Perez
• Hadisha Person, LMFT
• Monica Pesqueda

• Behavior Analyst in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.