Provider Demographics
NPI:1427927102
Name:BROZANIC, ALEXYS
Entity type:Individual
Prefix:
First Name:ALEXYS
Middle Name:
Last Name:BROZANIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SE 85TH RD
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64507-8761
Mailing Address - Country:US
Mailing Address - Phone:913-626-2555
Mailing Address - Fax:913-626-2555
Practice Address - Street 1:200 SE 85TH RD
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64507-8761
Practice Address - Country:US
Practice Address - Phone:913-626-2555
Practice Address - Fax:913-626-2555
Is Sole Proprietor?:No
Enumeration Date:2025-11-01
Last Update Date:2025-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst