Healthcare Provider Details

I. General information

NPI: 1437074267
Provider Name (Legal Business Name): BERKSHIRE FAMILY AND INDIVIDUAL RESOURCES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

771 CHURCH ST
NORTH ADAMS MA
01247-4109
US

IV. Provider business mailing address

771 CHURCH ST
NORTH ADAMS MA
01247-4109
US

V. Phone/Fax

Practice location:
  • Phone: 413-664-9382
  • Fax:
Mailing address:
  • Phone: 413-664-9382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: RANDALL J KINNAS
Title or Position: CEO
Credential:
Phone: 413-664-9382