Provider Demographics
NPI:1427925296
Name:ENDSLEY, SIENNA DOMENY
Entity type:Individual
Prefix:
First Name:SIENNA
Middle Name:DOMENY
Last Name:ENDSLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SIENNA
Other - Middle Name:D
Other - Last Name:MCCLELLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2222 TETON PLZ STE 2
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83404-6485
Mailing Address - Country:US
Mailing Address - Phone:208-360-9654
Mailing Address - Fax:208-522-4026
Practice Address - Street 1:2222 TETON PLZ STE 2
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83404-6485
Practice Address - Country:US
Practice Address - Phone:208-522-4026
Practice Address - Fax:208-522-4138
Is Sole Proprietor?:No
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst