Individual provider Active NPI

Brenden Ray Tamayo

  • Behavior Analyst
  • Boise, ID
National Provider Identifier
1750818340
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-26-2855861 Issued in ID
Practice address
3113 W Rose Hill St
Boise, ID 83705-1651
Phone
(208) 297-1405
NPI assigned
May 15, 2017
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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 1-26-2855861 ID Primary

Addresses

Primary practice location

3113 W Rose Hill St
Boise, ID 83705-1651

Mailing address

3113 W Rose Hill St
Boise, ID 83705-1651
Phone (208) 616-3609

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

State licenses

LicenseStateTypeSpecialty
RBT-17-7295-60735UTMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Achieving Abilities CurrentSince Jun 21, 2020 Accepting new patients
Sunderlin Behavioral Interventions CurrentSince Aug 17, 2025 Accepting new patients
Applied Behavior Connections LLC Past Accepting new patients

Locations

3113 W Rose Hill St
Boise, ID 83705
Phone (208) 270-5814

1392 W Turf Farm Way
Ste 1153
Payson, UT 84651
Phone (801) 935-5796

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1750818340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 W ROSE HILL ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051651",
            "telephone_number": "208-616-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 W ROSE HILL ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051651",
            "telephone_number": "208-297-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAYO",
        "first_name": "BRENDEN",
        "middle_name": "RAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "ID",
            "license": "1-26-2855861",
            "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 Sep 30, 2026; 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.