Organization
BERTH BEHAVIOR CONSULTATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BERTH LPA, BCBA (OWNER/MEMBER)
(919) 606-7106
Entity
Organization
Contact information
Practice address
7307 STONE WOOD CT, WILMINGTON, NC 28411-8397
(919) 606-7106
Mailing address
PO BOX 10540, WILMINGTON, NC 28404-0540
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/26/2015
Last updated
03/14/2016
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