Provider Demographics
NPI:1427244656
Name:BACHMEIER-CLEMMER, STEFANI LYNN (MA, BCBA)
Entity type:Individual
Prefix:MRS
First Name:STEFANI
Middle Name:LYNN
Last Name:BACHMEIER-CLEMMER
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 1:11735 SHOTGUN WAY
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4445
Mailing Address - Country:US
Mailing Address - Phone:210-264-7053
Mailing Address - Fax:
Practice Address - Street 1:11735 SHOTGUN WAY
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4445
Practice Address - Country:US
Practice Address - Phone:210-264-7053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225500000X
TX1-11-9044174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist