Kimberly Michelle Berry, RBT
Technician, Other in Sherwood, OR. Individual provider (NPI-1).
NPI number1902362452
StatusActive
Last updated in NPPESJan 2, 2023
Details
- NPI
- 1902362452
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Michelle Berry
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2019
- Certification date
- Jan 2, 2023
- Last updated
- Jan 2, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | RBT--19-77656 | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
20510 Sw Roy Rogers Rd Unit 210Sherwood, OR 97140-9320
Phone 360-771-7538
Mailing address
20510 Sw Roy Rogers Rd Unit 210Sherwood, OR 97140-9320
Phone 360-771-7538
Other practice locations
14828 Serenita Avenue
Oklahoma City, OK 73134
Oklahoma City, OK 73134
Phone 405-839-7500
2819 Se Brodiaea Ct
Hillsboro, OR 97123-5201
Hillsboro, OR 97123-5201
Phone 360-771-5738
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Other Other Technician providers in Sherwood, OR
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