Beth Ann Boogholt, M.S., BCBA, LLP, LBA
NPI 1265760128ActiveIndividual· Behavior Analyst· Grand Rapids, MI
Behavior Analyst (M.S., BCBA, LLP, LBA) in Grand Rapids, Michigan, licensed in MI, with an NPI issued in December 2009.
Overview
| NPI | 1265760128 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., BCBA, LLP, LBA |
| Sole proprietor | Yes |
| NPI issued | Dec 3, 2009 |
| Last updated in NPPES | Oct 11, 2024 |
| Certified by provider | Oct 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | — | — |
| Behavior Analyst | 103K00000X | 7401000740 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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