BETH ANN BOOGHOLT (M.S., BCBA, LLP, LBA) – Behavior Analyst, NPI 1265760128

BETH ANN BOOGHOLT (M.S., BCBA, LLP, LBA) is a healthcare provider. based in Grand rapids, Michigan. specializing in Behavior Analyst. They hold the professional credentials M.S., BCBA, LLP, LBA. They hold a License No. 7401000740 (MI). The NPI Number for BETH ANN BOOGHOLT (M.S., BCBA, LLP, LBA) is 1265760128

Main info

Female
Sole Proprietor
Name
BETH ANN BOOGHOLT (M.S., BCBA, LLP, LBA)
NPI
1265760128
Phone
(606) 336-3909
Address
790 FULLER AVE NE
Enumeration Date
3 December 2009
Last Update Date
11 October 2024

Contacts

Secure Messaging
pcerecords.network180.x@direct.mihin.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

Provider Addresses for BETH ANN BOOGHOLT (M.S., BCBA, LLP, LBA)

  • 790 FULLER AVE NE

    GRAND RAPIDS, MI 495031918

    Phone: (606) 336-3909

    Fax: (606) 336-8830

    Type: Mailing

  • 2168 Center Grange Dr

    Byron Center, MI 493159538

    Phone: (248) 798-0474

    Type: Location

  • 547 Heritage Dr

    Milford, MI 483812735

    Phone: (248) 798-0474

    Type: Location

  • 547, Heritage Drive, Heritage Hill, Milford, Milford Charter Township, Oakland County, Michigan, 48381, United States

    MILFORD, MI 483812735

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49503)

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Reviews

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Frequently asked questions

What is the registry number for BETH ANN BOOGHOLT (M.S., BCBA, LLP, LBA)?
The registry entry for BETH ANN BOOGHOLT (M.S., BCBA, LLP, LBA) shows NPI 1265760128.
Should I treat BETH ANN BOOGHOLT (M.S., BCBA, LLP, LBA) as an active provider?
Patients and plans typically see BETH ANN BOOGHOLT (M.S., BCBA, LLP, LBA) as active in the national extract.
What does the directory say BETH ANN BOOGHOLT (M.S., BCBA, LLP, LBA) does?
Insurance directories may phrase it differently, but here BETH ANN BOOGHOLT (M.S., BCBA, LLP, LBA) maps to Behavior Analyst. Clinical services aligned with this taxonomy classification.
Which community is linked to BETH ANN BOOGHOLT (M.S., BCBA, LLP, LBA)?
BETH ANN BOOGHOLT (M.S., BCBA, LLP, LBA) shows a connection to Grand Rapids, Michigan in registry-derived data.
Why is information missing for BETH ANN BOOGHOLT (M.S., BCBA, LLP, LBA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.