Kaitlyn Brazeau, M.S BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

5151 Monroe St Ste 232
Toledo, OH 43623-3462

Phone

(248) 712-4266

NPI assigned

Aug 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1255886917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 MONROE ST STE 232",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MONROE ST STE 232",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233462",
            "telephone_number": "248-712-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZEAU",
        "first_name": "KAITLYN",
        "credential": "M.S BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Bravo
• Tiffany Braxton
• Alisa Bray, D.O.
• Lauryn Bray
• Kattie Braylock
• Valerie T. Brazeau I, R.N.
• Ronney Edward Braziel, MSW, LSW
• Carole Lynn Brazzel
• Eisha Lynn Brazzel
• Nicole Brazzel

• Behavior Analyst in Toledo, OH
• Providers in Toledo, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.