Individual provider · Type 1 NPI

Bethany Bogue

Behavior Analyst · San Diego, CA

NPI number 1285286682 Active

Practice location

3003 4th Ave
San Diego, CA 92103-5801

Call (888) 428-3223 Map

Fax (323) 866-1881

Mailing address

4221 Wilshire Blvd Ste 300A
Los Angeles, CA 90010-3537

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	1-21-47819 (CA)
Behavior Technician	106S00000X	None listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1285286682

Bethany Bogue's National Provider Identifier is 1285286682, issued on Jul 15, 2019. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in San Diego, CA. The record was last updated on Oct 13, 2025.