Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fredricca Jazzman Brock, BCBA

Individual provider Behavior Analyst · NPI 1881207785

Fredricca Jazzman Brock, BCBA is a Behavior Analyst in Olive Branch, Mississippi. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2020
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

8481 Regal Bend Dr
Olive Branch, MS 38654-4416
Phone: (901) 606-5038
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 12044081 (TN)

Record details

NPI number1881207785
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorYes
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020
Mailing address8481 Regal Bend Dr, Olive Branch, MS 38654-4416

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