Jamie Suzanne Brazer, BCABA, LABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2011024511 Issued in MO

Practice address

611 N Fountain St
Cape Girardeau, MO 63701-7244

Phone

(573) 225-5828

NPI assigned

Jan 2, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southeast Behavior Intervention & Consultation

  • Assistant Behavior Analyst
  • Jackson, MO
  • NPI 1598327595
  NPD Authorized official

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1639415136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PLZ",
            "address_2": "MAILSTOP 9450",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014710",
            "telephone_number": "573-225-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N FOUNTAIN ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637017244",
            "telephone_number": "573-225-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZER",
        "first_name": "JAMIE",
        "middle_name": "SUZANNE",
        "credential": "BCABA, LABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2011024511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSOURI",
            "identifier": "2011024511",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lola Ann Bratton
• Sharon Ann Braun, PH.D, LPC, NCC, CCFC
• Amanda O Braxton
• Frank W Braxton, M.D.
• Misty Eileen Brazel, M.A., LPC
• Breast Care and Diagnostic Center LLC
• Karen Breeding
• Stephen Michael Brennan, M.D.
• Mollie-Beth Brewer
• Broadway LTC, LLC

• Behavior Analyst in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.