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

Jamie Suzanne Brazer, BCABA, LABA

Individual provider Behavior Analyst · NPI 1639415136

Jamie Suzanne Brazer, BCABA, LABA is an Undefined Non-Physician Type (Specify) in Cape Girardeau, Missouri. Qualified in 2010, 16 years ago. Practices as a sole proprietor. Licensed in Missouri.

Years since qualifying
16
Licensed in
MO
In the registry since
2013

Practice location Address checks out

611 N Fountain St
Cape Girardeau, MO 63701-7244
Phone: (573) 225-5828
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 2011024511 (MO)

Record details

NPI number1639415136
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCABA , LABA
Sole proprietorYes
NPI enumeratedJanuary 2, 2013
Last updated in NPPESJanuary 2, 2013
Mailing address1 University Plz, Mailstop 9450, Cape Girardeau, MO 63701-4710

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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