KIMBERLY MICHELLE BERRY RBT NPI 1902362452

NPI Information

NPI: 1902362452
Provider Name: KIMBERLY MICHELLE BERRY, RBT
Classification: Technician, Other - 247200000X
Entity Type: Individual
Address:
20510 SW ROY ROGERS RD UNIT 210
SHERWOOD, OR
ZIP 97140
Phone: (360) 771-7538
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Kimberly Michelle Berry, RBT is a technician other in Sherwood, OR. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. Kimberly Michelle Berry, RBT NPI is 1902362452. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20510 SW ROY ROGERS RD UNIT 210
SHERWOOD, OR
ZIP 97140-320
Phone: (360) 771-7538

The enumeration date for this NPI number is 2/20/2019 and was last updated on 1/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106S00000X	Behavior Technician				No
2	247200000X	Technician, Other		RBT--19-77656		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ABA-IN-10203849	OTHER	OREGON	OREGON HEALTH LICENSING
2	RBT-19-77656	OTHER		BACB

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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