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

Stacy Braddy

Individual provider Behavior Technician · NPI 1811712045

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 Ave
Dixon, IL 61021-1009
Phone: (815) 440-6134
Fax: (855) 620-0303
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-394101 (IL)

Record details

NPI number1811712045
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 21, 2024
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

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