Bethani J Burggraff, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-05-2536 Issued in MN

Practice address

2925 Dean Pkwy Ste 300
Minneapolis, MN 55416-7700

Phone

(612) 925-8366

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Shore Pediatric Therapy

  • Pediatric Occupational Therapist
  • Glenview, IL
  • NPI 1811909492

  Behavior Analyst

  NPD (past)
• Pediatric Therapy

  • Developmental Disabilities Clinic/Center
  • Glenview, IL
  • NPI 1093011579
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1962614032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 PHEASANT LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697634",
            "telephone_number": "612-210-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 DEAN PKWY STE 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554167700",
            "telephone_number": "612-925-8366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1308 Waukegan Rd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600253070",
            "country_code": "US",
            "telephone_number": "847-486-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGGRAFF",
        "first_name": "BETHANI",
        "middle_name": "J",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": "1-05-2536",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "1-05-2536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callister Jill Burgemeister, LICSW
• Patricia Burger
• Barbara Burgess
• Pamela L Burgess, M.D.
• Natalie Lynn Burgett, M.S., BCBA
• Allison Rae Burgstahler, PA
• Elizabeth Burgstahler, DMD
• Jessica Jo Burgstahler, RD
• Debra Lynn Burgy, MD
• Conor Killackey Burke-Smith

• Behavior Analyst in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.