Stacy Braddy
Stacy Braddy is a Behavior Technician in Dixon, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
1319 N Galena AveDixon, IL 61021-1009
Phone: (815) 440-6134
Fax: (855) 620-0303
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-24-394101 (IL) |
|---|
Record details
| NPI number | 1811712045 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 21, 2024 |
| Last updated in NPPES | November 21, 2024 |
| Certification date | November 21, 2024 |
| Mailing address | 1319 N Galena Ave, Dixon, IL 61021-1009 |
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