Individual provider Active NPI

Steven Adam Barcenes, BCBA

  • Behavior Analyst
  • Boise, ID
National Provider Identifier
1073276648
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
3076 N Five Mile Rd
Boise, ID 83713-5215
Phone
(208) 376-4999
NPI assigned
Oct 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

3076 N Five Mile Rd
Boise, ID 83713-5215

Mailing address

4862 W Mystic Cove Way
Garden City, ID 83714-4785
Phone (805) 791-6791

Other practice location 1

1946 Ridgegate Ln Apt J
Simi Valley, CA 93065-2959
Phone (805) 791-6791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1073276648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4862 W MYSTIC COVE WAY",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837144785",
            "telephone_number": "805-791-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3076 N FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135215",
            "telephone_number": "208-376-4999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1946 Ridgegate Ln Apt J",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930652959",
            "country_code": "US",
            "telephone_number": "805-791-6791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARCENES",
        "first_name": "STEVEN",
        "middle_name": "ADAM",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-20",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.