Berry, Kimberly Michelle

Berry, Kimberly Michelle is an individual health care provider with primary practice located at 20510 Sw Roy Rogers Rd Unit 210 , Sherwood OR 97140-9320. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Technologists, Technicians & Other Technical Service Providers / Technician, Other is her primary health care specialty. Berry, Kimberly Michelle can be contacted via phone (360) 771-7538.

Contact Information

Primary practice address
20510 Sw Roy Rogers Rd Unit 210 Sherwood OR 97140-9320
Phone: (360) 771-7538
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X RBT--19-77656

Profile Details

NPI number 1902362452
LBN Legal business name Berry, Kimberly Michelle
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2019
Last updated Jan 2nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902362452 NPPES
Oregon Other ABA-IN-10203849 OREGON HEALTH LICENSING
Oregon Other RBT-19-77656 OREGON HEALTH LICENSING

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