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MR. CLYDE KEITH BERTHOLD III
NPI 1215588900
Behavior Analyst in Hillsboro, OR

Active since September 24, 2019
5801 NE CORNELIUS PASS RD, HILLSBORO, OR 97124(971) 762-1144 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Mr. Clyde Keith Berthold Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CLYDE KEITH BERTHOLD III (NPI 1215588900) is an individual behavior analyst provider in Hillsboro, Oregon, licensed in Oregon (A710535) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1215588900
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameMR. CLYDE KEITH BERTHOLD III
Location Address5801 NE CORNELIUS PASS RDHillsboro, OR 97124-9370
Mailing Address21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807 · (818) 345-2345
Phone(971) 762-1144
Sole ProprietorNo
Enumeration DateSeptember 24, 2019
✔ NPI 1215588900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in OR · A710535
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
5801 NE CORNELIUS PASS RD, Hillsboro, OR 97124
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Other Names 1

Other Name (5)Mr. Ty Keith Berthold

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRYSTAL SELIGMAN
Behavior Technician
5801 NE CORNELIUS PASS RD
HILLSBORO, OR 97124
Washington County (971) 762-1144
GRACE HAGAN
Behavior Technician
5801 NE CORNELIUS PASS RD
HILLSBORO, OR 97124
Washington County (971) 762-1144
ANGEL BAUTISTA CARRANZA
Behavior Technician
5801 NE CORNELIUS PASS RD
HILLSBORO, OR 97124
Washington County (971) 762-1144
SHARON LYN BALES
Social Worker
5801 NE CORNELIUS PASS RD
HILLSBORO, OR 97124
Washington County (971) 762-1144
BREANNA GRAVLEY
Behavior Technician
5801 NE CORNELIUS PASS RD
HILLSBORO, OR 97124
Washington County (971) 762-1144
ANGELA STONE
Behavior Technician
5801 NE CORNELIUS PASS RD
HILLSBORO, OR 97124
Washington County (971) 762-1144
SIVARAM DEVANABOYINA
Behavior Technician
5801 NE CORNELIUS PASS RD
HILLSBORO, OR 97124
Washington County (971) 762-1144
COLLEEN WALKER
Behavior Analyst
5801 NE CORNELIUS PASS RD
HILLSBORO, OR 97124
Washington County (971) 762-1144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clyde Berthold's NPI number?

The NPI number for Clyde Berthold is 1215588900. It was assigned to this individual provider in the NPPES registry on September 24, 2019. The provider is also known as Mr. Ty Keith Berthold.

Where is Clyde Berthold located?

Clyde Berthold practices at 5801 NE Cornelius Pass Rd, Hillsboro, OR 97124. The listed phone number is (971) 762-1144.

What is Clyde Berthold's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Clyde Berthold was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.