Kimberly Michelle Berry, RBT

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

RBT--19-77656

Practice address

20510 SW Roy Rogers Rd Unit 210
Sherwood, OR 97140-9320

Phone

(360) 771-7538

NPI assigned

Feb 20, 2019

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Monarch Behavioral Therapy Bii, LLC

  • Behavior Analyst
  • Columbia, MD
  • NPI 1043456296

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1902362452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20510 SW ROY ROGERS RD UNIT 210",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409320",
            "telephone_number": "360-771-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20510 SW ROY ROGERS RD UNIT 210",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409320",
            "telephone_number": "360-771-7538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2819 SE Brodiaea Ct",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971235201",
            "country_code": "US",
            "telephone_number": "360-771-5738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14828 Serenita Avenue",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "73134",
            "country_code": "US",
            "telephone_number": "405-839-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": "RBT--19-77656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON HEALTH LICENSING",
            "identifier": "ABA-IN-10203849",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-19-77656",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micah Bartron, LMT
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• Dennis Orell Beasley, DC
• Sherry Rose Beckmann, PSYCHOLOGIST, EDD
• Benchmark Physical Therapy of Or, LLC
• Jordan Bigam, ATC
• Jane Biggi, MPT
• Alison Marie Bisset
• Bittner & Flann LLC
• Bittner Dentistry for Kids

• All providers in Sherwood, OR
• Other Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.