Provider Demographics
NPI:1396176707
Name:BERFIELD, DORA LAURA (CAARCG70009265)
Entity type:Individual
Prefix:MRS
First Name:DORA
Middle Name:LAURA
Last Name:BERFIELD
Suffix:
Gender:F
Credentials:CAARCG70009265
Other - Prefix:
Other - First Name:DORA
Other - Middle Name:LAURA
Other - Last Name:LAMOUREUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8510 MAIN ST E # 8510-A
Mailing Address - Street 2:
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391-9228
Mailing Address - Country:US
Mailing Address - Phone:760-694-0132
Mailing Address - Fax:
Practice Address - Street 1:8510 MAIN ST E # 8510-A
Practice Address - Street 2:
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-9228
Practice Address - Country:US
Practice Address - Phone:760-694-0132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACAAR.CG.70009265101YM0800X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst