Individual
BETH ANN BOOGHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LLP, LBA
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(606) 336-3909
(606) 336-8830
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(606) 336-3909
(606) 336-8830
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
7401000740
MI
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/03/2009
Last updated
10/11/2024
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