Organization
BLUEBIRD BEHAVIORAL SERVICES, LLC
Active
Other names
Hi-5 ABA
Organization subpart
No
Provider details
NPI number
Authorized official
BETH ANN BOOGHOLT MS, LLP, BCBA, LBA (CEO)
(248) 798-0474
Entity
Organization
Contact information
Practice address
2168 CENTER GRANGE DR, BYRON CENTER, MI 49315-9538
(248) 798-0474
Mailing address
PO BOX 390, BYRON CENTER, MI 49315-0390
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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