Berth, Kelly

Berth, Kelly is an individual health care provider with primary practice located at 1710 Douglas Dr N Ste 224K , Golden Valley MN 55422-4359. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Berth, Kelly can be contacted via phone (920) 483-0450.

Contact Information

Primary practice address
1710 Douglas Dr N Ste 224K Golden Valley MN 55422-4359
Phone: (920) 483-0450
Fax: (612) 473-3201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1548822380
LBN Legal business name Berth, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2019
Last updated Feb 13th, 2024 - about 2 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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