Bethany Catherine Gorka, MS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401000297 Issued in MI

Practice address

30200 Telegraph Rd Ste 207
Bingham Farms, MI 48025-5711

Phone

(218) 712-1129

Fax

(248) 792-3249

NPI assigned

Mar 3, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1477851178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35640 W MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841628",
            "telephone_number": "734-729-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD STE 207",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255711",
            "telephone_number": "218-712-1129",
            "fax_number": "248-792-3249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35640 W Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481841628",
            "country_code": "US",
            "telephone_number": "734-729-7792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORKA",
        "first_name": "BETHANY",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-03",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401000297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alysia B Gonzalez
• Imiah Good
• Alora Elizabeth Goodfellow
• Gabrielle Anisse Gore
• Eun Kyung Gorenflo
• Susan Raznik Gormezano, OD
• Hari A Goro
• Jewel Andrea Gorospe
• William Edward Grace
• Janet Gradolph, CRNA

• Behavior Analyst in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.