STACY BRADDY

Behavior Technician

Active Individual
NPI: 1811712045

Practice Address

1319 N GALENA AVE
Dixon, IL 61021

Phone: (815) 440-6134

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes RBT-24-394101 (IL)

Frequently Asked Questions

NPI 1811712045 is the National Provider Identifier for STACY BRADDY, a Behavior Technician provider located in Dixon, IL. This NPI was enumerated on November 21, 2024.
STACY BRADDY practices at 1319 N GALENA AVE, Dixon, IL 61021.

Quick Facts

NPI
1811712045
Type
Individual
Enumerated
Nov 21, 2024
Last Updated
Nov 21, 2024

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