Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265760128 Individual Practitioner Female Practitioner

Beth Ann Boogholt , MS, BCBA, LLP, LBA

Behavior Analyst • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Beth Boogholt, MS, BCBA, LLP, LBA is a registered healthcare professional specializing in Behavior Analyst in Grand Rapids, MI. Practice services are available at 790 FULLER AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

790 Fuller Ave Ne

Grand Rapids, MI 495031918

Telephone 6063363909
Fax 6063368830
Associated Practice Facility / Clinic
🏢 Kent County Cmh Authority Facility NPI 1134212442

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
252 Specialists

Practicing in Grand Rapids, MI (3207 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: 2024-10-11
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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 Analyst

NUCC Taxonomy Code: 103K00000X

State License MI 7401000740

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.

Secondary Practice Locations

2168 Center Grange Dr

Byron Center, MI 493159538

Phone: 2487980474

547 Heritage Dr

Milford, MI 483812735

Phone: 2487980474

Practice Associates & Co-Workers

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

1 Associated Practitioners
Teirra Butler , BSN-RN

Registered Nurse

NPI 1568331965

BSNRN

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location May 20, 2022

Registered at 790 FULLER AVE NE, GRAND RAPIDS, MI 495031918 (Tel: 6063363909)

📍
Updated Business Mailing Address May 20, 2022

Registered at 790 FULLER AVE NE, GRAND RAPIDS, MI 495031918 (Tel: 6063363909)

📍
Updated Practice Location November 23, 2020

Registered at 2168 CENTER GRANGE DR, BYRON CENTER, MI 493159538 (Tel: 2487980474)

📍
Updated Business Mailing Address November 23, 2020

Registered at 2168 CENTER GRANGE DR, BYRON CENTER, MI 493159538 (Tel: 2487980474)

👤
Provider Name / Credentials Updated November 23, 2020

Recorded as BETH BOOGHOLT, M.S., BCBA, LLP, LBA

NPI Profile Active April 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2013

Registered at 547 HERITAGE DR, MILFORD, MI 483812735 (Tel: 2487980474)

📍
Updated Business Mailing Address April 27, 2013

Registered at 547 HERITAGE DR, MILFORD, MI 483812735

👤
Provider Name / Credentials Updated April 27, 2013

Recorded as BETH BOOGHOLT, M.S., BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2013

Behavior Analyst

🟢
Initial NPI Registration & Enumeration December 03, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1265760128
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2009
Last Update: October 11, 2024
Sole Proprietor: Yes

Mailing Address

790 Fuller Ave Ne

Grand Rapids, MI 495031918

Phone: 6063363909

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.