Individual
KELLY BERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 DOUGLAS DR N STE 224K, GOLDEN VALLEY, MN 55422-4359
(920) 483-0450
(612) 473-3201
Mailing address
3305 CEDAR AVE S, MINNEAPOLIS, MN 55407-2355
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/02/2019
Last updated
02/13/2024
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