Individual provider Active NPI

Yrenka Lolli-Sunderlin, BCBA

  • Behavior Analyst
  • Boise, ID
National Provider Identifier
1306135900
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-10-6753 Issued in CA
Practice address
3113 W Rose Hill St
Boise, ID 83705-1651
Phone
(208) 297-1405
Fax
(805) 823-4462
NPI assigned
Apr 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X DDA-6253 ID
Behavior Analyst 103K00000X 1-10-6753 CA 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) 297-1405

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
DDA-6253IDMDDevelopmentally Disabled Services Day Training Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Sunderlin Behavioral Interventions Behavior Analyst CurrentSince Aug 17, 2025 Accepting new patients

Locations

365 E Avenida de los Arboles
Unit 8
Thousand Oaks, CA 91360

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

15532 SW Pacific Hwy
Ste C1B
Tigard, OR 97224
Phone (530) 924-4262

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1306135900",
    "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": "208-297-1405",
            "fax_number": "805-823-4462"
        },
        {
            "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",
            "fax_number": "805-823-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOLLI-SUNDERLIN",
        "first_name": "YRENKA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "ID",
            "license": "DDA-6253",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-10-6753",
            "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 Jul 24, 2025; 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.