Boogholt, Beth Ann
Boogholt, Beth Ann is an sole proprietor health care provider with primary practice located at 790 Fuller Ave Ne , Grand Rapids MI 49503-1918. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Boogholt, Beth Ann can be contacted via phone (606) 336-3909.Contact Information
Primary practice address
790 Fuller Ave Ne
Grand Rapids MI 49503-1918
Phone: (606) 336-3909
Fax: (606) 336-8830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 7401000740 | Michigan |
Profile Details
| NPI number | 1265760128 |
|---|---|
| LBN Legal business name | Boogholt, Beth Ann |
| Credentials | M.S., BCBA, LLP, LBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 3rd, 2009 |
| Last updated | May 20th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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