Provider Demographics
NPI:1184951196
Name:BACHMAN-CLIETT, AMY (MA, BCBA)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:BACHMAN-CLIETT
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 DOG FENNEL CT
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-4556
Mailing Address - Country:US
Mailing Address - Phone:865-315-3131
Mailing Address - Fax:
Practice Address - Street 1:235B PIN CT
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-8888
Practice Address - Country:US
Practice Address - Phone:706-955-7581
Practice Address - Fax:407-880-4344
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-11
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst