Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Beth Ann Boogholt, MS, BCBA, LLP, LBA

Individual provider Behavior Analyst · NPI 1265760128

Beth Ann Boogholt, MS, BCBA, LLP, LBA is a Behavior Analyst in Grand Rapids, Michigan. Practices as a sole proprietor and works from 3 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2009
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone: (606) 336-3909
Fax: (606) 336-8830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2168 Center Grange Dr, Byron Center, MI 49315-9538 — (248) 798-0474
  • 547 Heritage Dr, Milford, MI 48381-2735 — (248) 798-0474

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Analyst Taxonomy 103K00000X · Licence 7401000740 (MI)

Record details

NPI number1265760128
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , BCBA , LLP , LBA
Sole proprietorYes
NPI enumeratedDecember 3, 2009
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024

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