MR. Clyde Keith Berthold III

NPI #1215588900 in Hillsboro, Oregon

Provider Information

NPI Number: 1215588900
Entity Type: Individual
Name: MR. Clyde Keith Berthold III
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 24, 2019
Last Updated: Sep 24, 2019

Practice Location

Address: 5801 NE CORNELIUS PASS RD
City: Hillsboro
State: Oregon
ZIP Code: 97124-9370
Phone: (971) 762-1144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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