Individual
YRENKA LOLLI-SUNDERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
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
DDA-6253
ID
Other
Enumeration date
04/04/2011
Last updated
07/24/2025
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