Individual provider Active NPI

Amy Mackliet

  • Behavior Analyst
  • Ogden, UT
National Provider Identifier
1558281766
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
142942012506 Issued in UT
Practice address
349 12TH St
Ogden, UT 84404-5712
Phone
(801) 335-9382
Fax
(385) 327-9382
NPI assigned
Jul 17, 2026
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 142942012506 UT Primary

Addresses

Primary practice location

349 12TH St
Ogden, UT 84404-5712

Mailing address

5145 S 1225 W
Riverdale, UT 84405-3922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1558281766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 S 1225 W",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844053922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 12TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844045712",
            "telephone_number": "801-335-9382",
            "fax_number": "385-327-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKLIET",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "142942012506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.