Kelly Berth

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1710 Douglas Dr N Ste 224K
Golden Valley, MN 55422-4359

Phone

(920) 483-0450

Fax

(612) 473-3201

NPI assigned

Jul 2, 2019

Last updated

Feb 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connections Behavioral Services

  • Behavior Analyst
  • Golden Valley, MN
  • NPI 1225813793
  NPD Authorized official
• Connections Behavioral Services LLC

  • Early Intervention Provider Agency
  • Bloomington, MN
  • NPI 1790481513
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1548822380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 CEDAR AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554072355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N STE 224K",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224359",
            "telephone_number": "920-483-0450",
            "fax_number": "612-473-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTH",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Black Beman, PH.D., RN, PHN
• Caralynn Rachel Benoit, MA CCC SLP
• Barbara J Benson, RN, MA, LPC
• Abigail V Berg, OTR L
• Brent Berry, M.D./PH.D.
• Theresa Kaye Best, COTA
• Ashley Bethke
• Bio-Medical Applications of Minnesota, Inc. (Golden Valley Dialysis Center)
• Birch Lake Relational Therapy LLC
• Gary Birnbaum, M.D.

• Behavior Analyst in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.