SearchIdaho106S00000X

Brenden Tamayo

NPI 1750818340 · on the registry since 2017

Practice

Address
3113 W Rose Hill St
Boise, ID 83705
Phone
(208) 297-1405
Organisation at this address
Sunderlin Behavioral Interventions
Inferred from a shared address, not stated in the registry.
Clinicians at this address
32

Additional practice sites

  • 5160 Sunset Ln, South Ogden, UT
  • 220 W Georgia Ave, Nampa, ID

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho