Rachel J Grenzebach, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3417 S Shortleaf Ave
Boise, ID 83716

Phone

(716) 491-9973

NPI assigned

Jul 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1659007243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 S SHORTLEAF AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83716",
            "telephone_number": "716-491-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 S SHORTLEAF AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83716",
            "telephone_number": "716-491-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENZEBACH",
        "first_name": "RACHEL",
        "middle_name": "J",
        "credential": "MA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Gregersen
• Francesca Lindsay Gregg, COTA L
• Michael Thomas Gregg, M.D.
• Sebastian Ned Gregorio, RPH
• Rachel Gregory, DPT
• Amber L. Gresham, SPT (SPEECH THERAPIS
• Samantha Gresham, LMSW
• Gretchen Brill Counseling
• Stanley Simpson Grey, DMD
• Kassidy Griffel

• All providers in Boise, ID
• Behavior Analyst in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.