Brazer, Jamie Suzanne

Brazer, Jamie Suzanne is an sole proprietor health care provider with primary practice located at 611 N Fountain St , Cape Girardeau MO 63701-7244. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Brazer, Jamie Suzanne can be contacted via phone (573) 225-5828.

Contact Information

Primary practice address
611 N Fountain St Cape Girardeau MO 63701-7244
Phone: (573) 225-5828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 2011024511 Missouri

Profile Details

NPI number 1639415136
LBN Legal business name Brazer, Jamie Suzanne
Credentials BCABA, LABA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2013
Last updated Jan 2nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639415136 NPPES
Missouri Other 2011024511 STATE OF MISSOURI

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