Individual
KIMBERLY BERTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10820 COLDWATER RD, FORT WAYNE, IN 46845-1241
(260) 755-1438
Mailing address
1016 W WAYNE ST, FORT WAYNE, IN 46802-6010
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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