Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaci Carolynn Brantley

Individual provider Developmental Therapist · NPI 1750083739

Jaci Carolynn Brantley is a Developmental Therapist in Belvidere, Illinois. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

622 Ruth Cir
Belvidere, IL 61008-5548
Phone: (414) 940-5581
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Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1750083739
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 21, 2023
Last updated in NPPESMarch 21, 2023
Certification dateMarch 21, 2023
Mailing address622 Ruth Cir, Belvidere, IL 61008-5548

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