Provider Demographics
NPI:1841081387
Name:SERENE APPLIED BEHAVIORAL ANALYSIS
Entity type:Organization
Organization Name:SERENE APPLIED BEHAVIORAL ANALYSIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:STRIGOTTE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:208-719-7158
Mailing Address - Street 1:1616 E SELTICE WAY
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83854-7007
Mailing Address - Country:US
Mailing Address - Phone:208-719-7158
Mailing Address - Fax:
Practice Address - Street 1:1616 E SELTICE WAY
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-7007
Practice Address - Country:US
Practice Address - Phone:208-719-7158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SERENE INTEGRATIVE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty