Individual
FABIO KELLING BERTUOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
9135 KOSTELNIK ST, NEEDVILLE, TX 77461-7920
(617) 820-7430
Mailing address
9135 KOSTELNIK ST, NEEDVILLE, TX 77461-7920
(617) 820-7430
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50398
TX
Other
Enumeration date
06/09/2021
Last updated
07/15/2025
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