JAMIE SUZANNE BRAZER BCABA, LABA
NPI 1639415136
Behavior Analyst in Cape Girardeau, MO

Q: What is Jamie Brazer's NPI number?

The NPI number for Jamie Brazer is 1639415136. It was assigned to this individual provider in the NPPES registry on January 2, 2013.

Q: What is Jamie Brazer's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Jamie Brazer was last updated on January 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 02, 2013PECOS Enrolled

611 N FOUNTAIN ST, CAPE GIRARDEAU, MO 63701(573) 225-5828 Get Directions Write a Review

NPPES record last updated: January 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jamie Suzanne Brazer Bcaba, Laba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMIE SUZANNE BRAZER BCABA, LABA (NPI 1639415136) is an individual behavior analyst provider in Cape Girardeau, Missouri, licensed in Missouri (2011024511) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1639415136

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameJAMIE SUZANNE BRAZERCredential: BCABA, LABA

Location Address611 N FOUNTAIN STCape Girardeau, MO 63701-7244

Mailing Address1 University Plz, Mailstop 9450Cape Girardeau, MO 63701-4710 · (573) 225-5828

Phone(573) 225-5828

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateJanuary 2, 2013

✔ NPI 1639415136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in MO · 2011024511

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

611 N FOUNTAIN ST, Cape Girardeau, MO 63701

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Other Identifiers 1

Other2011024511MO · State Of Missouri

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamie Suzanne Brazer Bcaba, Laba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698264521

PECOS Enrollment IDI20251030001594

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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Speech-Language Pathologist