Serena Danville

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

275 Lewis PL
Sedro Woolley, WA 98284-4394

Phone

(360) 318-4700

NPI assigned

Feb 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1568056919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 ALABAMA ST STE B",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982294055",
            "telephone_number": "360-318-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 LEWIS PL",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982844394",
            "telephone_number": "360-318-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANVILLE",
        "first_name": "SERENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61002326",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2041449",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.bluewateraba.com",
            "affiliation": "N",
            "address_1": "275 Lewis Pl",
            "city": "Sedro Woolley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982844394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua Curtis
• Jamie Danell, PA
• Collette Daniels, HIS
• Richard L Daniels
• Zechariah Daniels, HIS
• Lawrence Alan Darienzo, MA
• Damara Lashay Davis, MA
• Nicole Roberta Davis
• Rielly Davis, SLP
• Jennifer Leanne Dawes, M.P.T.

• Behavior Analyst in Sedro Woolley, WA
• Providers in Sedro Woolley, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.