Organization
SUNDERLIN BEHAVIORAL INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YRENKA LOLLI-SUNDERLIN B.C.B.A. (EXECUTIVE DIRECTOR)
(805) 208-3875
Entity
Organization
Contact information
Practice address
3113 W ROSE HILL ST, BOISE, ID 83705-1651
(208) 297-1405
(805) 823-4462
Mailing address
3113 W ROSE HILL ST, BOISE, ID 83705-1651
(208) 297-1405
(805) 823-4462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-6753
CA
251C00000X
Developmentally Disabled Services Day Training Agency
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Other
Enumeration date
07/18/2013
Last updated
08/15/2025
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