BETH ANN BOOGHOLT M.S., BCBA, LLP, LBA
NPI 1265760128
Behavior Analyst in Grand Rapids, MI

Q: What is Beth Boogholt's NPI number?

The NPI number for Beth Boogholt is 1265760128. It was assigned to this individual provider in the NPPES registry on December 3, 2009.

Q: What is Beth Boogholt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Beth Boogholt was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since December 03, 2009

790 FULLER AVE NE, GRAND RAPIDS, MI 49503(606) 336-3909(606) 336-8830 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2024, May 20, 2022, Nov 23, 2020 (3 updates tracked since 2020).

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About Beth Ann Boogholt M.s., Bcba, Llp, Lba NPPES

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

BETH ANN BOOGHOLT M.S., BCBA, LLP, LBA (NPI 1265760128) is an individual behavior analyst provider in Grand Rapids, Michigan, licensed in Michigan (7401000740) and active in the NPI registry since December 2009. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265760128

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameBETH ANN BOOGHOLTCredential: M.S., BCBA, LLP, LBA

Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918

Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918 · (606) 336-3909 · Fax (606) 336-8830

Phone(606) 336-3909

Fax(606) 336-8830

Sole ProprietorYes

Enumeration DateDecember 3, 2009

Last NPPES UpdateOctober 11, 20243 updates tracked since enumeration

NPPES CertifiedOctober 11, 2024

✔ NPI 1265760128 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 MI · 7401000740

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.

790 FULLER AVE NE, Grand Rapids, MI 49503

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Secondary Practice Locations 2

Location 12168 Center Grange DrByron Center, MI 49315-9538 · Phone (248) 798-0474

Location 2547 Heritage DrMilford, MI 48381-2735 · Phone (248) 798-0474

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

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.

DIANA DUARTE-MENENDEZ LMSW

Social Worker (Clinical)