Individual
SERENA DANVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 LEWIS PL, SEDRO WOOLLEY, WA 98284-4394
(360) 318-4700
Mailing address
2600 ALABAMA ST STE B, BELLINGHAM, WA 98229-4055
(360) 318-4700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WA
106S00000X
Behavior Technician
CB61002326
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2041449
—
WA
Enumeration date
02/25/2021
Last updated
10/03/2022
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