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Individual

BRODY STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
1319 N GALENA AVE, DIXON, IL 61021-1009
(815) 440-6134
Mailing address
1319 N GALENA AVE, DIXON, IL 61021-1009
(815) 440-6134

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-480447
IL

Other

Enumeration date
10/16/2025
Last updated
10/16/2025
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