CLYDE KEITH BERTHOLD

HILLSBORO, OR
NPI1215588900
Other NameTY KEITH BERTHOLD
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: OR  A710535)
Enumeration Date2019-09-24
Last Update Date2019-09-24
Business Address
Mr. CLYDE KEITH BERTHOLD
5801 NE CORNELIUS PASS RD
HILLSBORO, OR 97124-9370
Phone number: 971-762-1144
Mailing Address
Mr. CLYDE KEITH BERTHOLD
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345