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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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