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1215588900
CLYDE KEITH BERTHOLD
HILLSBORO, OR
NPI
1215588900
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Other Name
TY KEITH BERTHOLD
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: OR A710535)
Enumeration Date
2019-09-24
Last Update Date
2019-09-24
Business Address
Mr. CLYDE KEITH BERTHOLD
5801 NE CORNELIUS PASS RD
HILLSBORO, OR 97124-9370
Phone number: 971-762-1144
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Mailing Address
Mr. CLYDE KEITH BERTHOLD
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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