Individual provider · Type 1 NPI

Stacey Ann Buenavista

Rehabilitation Practitioner · San Leandro, CA

NPI number 1851427009 Active

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Mailing address

8405 Boley Dr
Stockton, CA 95212-3456

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1851427009

Stacey Ann Buenavista's National Provider Identifier is 1851427009, issued on Feb 24, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Leandro, CA. The record was last updated on Jun 6, 2025.