MEDICARE: JAMIE EMERY BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	2016041851	MO

General Provider Information

NPI Number	:	1720526072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE EMERY BCBA

Provider Business Mailing Address
First Line	:	601 LACLEDE AVE
Second Line	:
City	:	NEOSHO
State	:	MO
Zip	:	64850-9165
Country	:	US
Telephone Number	:	417-451-2450
Fax Number	:

Provider Business Practice Location Address
First Line	:	180 CEMETERY RD
Second Line	:
City	:	NEOSHO
State	:	MO
Zip	:	64850
Country	:	US
Telephone Number	:	417-451-2450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2017
Last Update Date	:	02/05/2026

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Directions to “ JAMIE EMERY BCBA” Practice Location

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