Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285286682 Individual Practitioner Female Practitioner

Bethany Bogue

Behavior Analyst • San Diego, CA

Professional Overview & Biography Verified Profile Summary

Bethany Bogue is a registered healthcare professional specializing in Behavior Analyst in San Diego, CA. Practice services are available at 3003 4TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3003 4th Ave

San Diego, CA 921035801

Telephone 8884283223
Fax 3238661881
Associated Practice Facility / Clinic
🏢 Intercare Therapy, Inc. Facility NPI 1184916496

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in San Diego, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
1161 Specialists

Practicing in San Diego, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-13
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-21-47819

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bacb
1-21-47819 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Veronica Susbilla

Behavior Technician

NPI 1003371212
Larisa Pamujac

Behavior Analyst

NPI 1003412321
Evan Fortier

Behavior Technician

NPI 1003481649
Adilene Ramirez

Behavior Technician

NPI 1003487679
Sally Kim

Behavior Technician

NPI 1003491465
Sophia Manuel

Behavior Technician

NPI 1003492125

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location October 13, 2025

Registered at 3003 4TH AVE, SAN DIEGO, CA 921035801 (Tel: 8884283223)

📍
Updated Business Mailing Address October 13, 2025

Registered at 4221 WILSHIRE BLVD STE 300A, LOS ANGELES, CA 900103537 (Tel: 8884283223)

👤
Provider Name / Credentials Updated October 01, 2025

Recorded as BETHANY BOGUE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2025

Behavior Analyst (License #1-21-47819 in CA)

📍
Updated Practice Location February 26, 2021

Registered at 2667 CAMINO DEL RIO S STE 102, SAN DIEGO, CA 921083763 (Tel: 6197820700)

📍
Updated Business Mailing Address February 26, 2021

Registered at 8030 LA MESA BLVD STE 25, LA MESA, CA 919420335 (Tel: 6197820700)

NPI Profile Active July 15, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2019

Registered at 8885 RIO SAN DIEGO DR STE 340, SAN DIEGO, CA 921081669 (Tel: 6197959925)

📍
Updated Business Mailing Address July 15, 2019

Registered at 8885 RIO SAN DIEGO DR STE 340, SAN DIEGO, CA 921081669 (Tel: 6197959925)

👤
Provider Name / Credentials Updated July 15, 2019

Recorded as BETHANY HURTIENNE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration July 15, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1285286682
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2019
Last Update: October 13, 2025
Sole Proprietor: No

Mailing Address

4221 Wilshire Blvd Ste 300a

Los Angeles, CA 900103537

Phone: 8884283223

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.