Jessica Brown, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2022003501 Issued in MO

Practice address

650 Office Pkwy
Creve Coeur, MO 63141-7103

Phone

(314) 395-7227

NPI assigned

Jan 31, 2022

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 3, 2022.

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1083367072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 WOODHOLLOW DR APT 204",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433948",
            "telephone_number": "314-299-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 OFFICE PKWY",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417103",
            "telephone_number": "314-395-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JESSICA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2022003501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Brockmann, PNP
• Jeffrey Scott Brooks, DPM
• Jason A. Browdy, M.D.
• Alexis Christina Brown
• Clayton Nelson Brown
• Julie Marie Brown, NNP
• Bryan Emerson DC
• Amanda E Bryant, LPC
• Michelle Perez Burghart, OD
• Summer Ann Burmeister

• All providers in Creve Coeur, MO
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.