Healthcare Provider Details

I. General information

NPI: 1376454769
Provider Name (Legal Business Name): BAILEY BROWER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2808 S PICHER AVE
JOPLIN MO
64804-1645
US

IV. Provider business mailing address

325 BRIARBROOK DR
CARL JUNCTION MO
64834-9595
US

V. Phone/Fax

Practice location:
  • Phone: 417-347-7850
  • Fax: 417-347-9727
Mailing address:
  • Phone: 417-347-7850
  • Fax: 417-347-9727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: