Provider Demographics
NPI:1790089803
Name:BERENDS, VALORI (MS, BCBA)
Entity Type:Individual
Prefix:MISS
First Name:VALORI
Middle Name:
Last Name:BERENDS
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5625 7TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-2730
Mailing Address - Country:US
Mailing Address - Phone:206-905-4660
Mailing Address - Fax:
Practice Address - Street 1:24 ROY ST
Practice Address - Street 2:434
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4018
Practice Address - Country:US
Practice Address - Phone:206-905-4660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-04
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1107650103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA60176253OtherDEPARTMENT OF HEALTH, AGENCY AFFILIATED COUNSELOR