Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bethany Bogue

Individual provider Behavior Analyst · NPI 1285286682

Bethany Bogue is a Behavior Analyst in San Diego, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3003 4th Ave
San Diego, CA 92103-5801
Phone: (888) 428-3223
Fax: (323) 866-1881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-21-47819 (CA)
Behavior Technician Taxonomy 106S00000X (CA)

Record details

NPI number1285286682
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2019
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address4221 Wilshire Blvd Ste 300a, Los Angeles, CA 90010-3537

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