NPI age
11 years
Enumerated 2014-08-22
● Active
Type 1 · Individual
Andrea Loban
Loban is 1 of 2 day training, developmentally disabled services providers in Victor and 1 of 141 in Idaho.
Primary specialty
Day Training, Developmentally Disabled Services
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2014-08-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 141 active day training, developmentally disabled services providers in Idaho.
NPI age
11 years
↓ 8 yr below median (19 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-08Enumerated in NPPES
2014
2026
Where they practice
Practice location
5049 Fox Creek Hollow
Victor, ID 834550000
Mailing address
5049 Fox Creek Hollow
Victor, ID 834550000
Specialties
-
Day Training, Developmentally Disabled Services PrimaryThese agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (WY) | 127612300 | MEDICAID PROVIDER NUMBER |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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