Stacy Braddy

NPI #1811712045 in Dixon, Illinois

Provider Information

NPI Number: 1811712045
Entity Type: Individual
Name: Stacy Braddy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 21, 2024
Last Updated: Nov 21, 2024

Practice Location

Address: 1319 N GALENA AVE
City: Dixon
State: Illinois
ZIP Code: 61021-1009
Phone: (815) 440-6134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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