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Individual

ASTRIDE BERTHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18 S SHUMWAY AVE, NAMPA, ID 83651-5057
(619) 519-2598
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 436-4400

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/03/2024
Last updated
06/07/2025
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