IndividualActive
Amy Bohannan, BCBA,LBA, LPC-MHSP
NPI 1083923783 · Professional Counselor · Germantown, TN
Provider details
- NPI number
- 1083923783
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- BCBA,LBA, LPC-MHSP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1-08-4872 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1910 Malabar Dr
Germantown, TN 38138-3025
Phone: (651) 341-1858
Approximate (ZIP-level) locationGet directions
Mailing address
1910 Malabar Dr
Germantown, TN 38138-3025
Registry dates
- Enumerated
- 2010-09-28
- Last updated
- 2025-07-10
- Certified
- 2025-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.