Individual
AMANNY MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, MS
Contact information
Practice address
6540 N LINCOLN AVE STE 200, LINCOLNWOOD, IL 60712-3927
(224) 701-5401
Mailing address
2150 N CENTRAL PARK AVE UNIT 1N, CHICAGO, IL 60647-3590
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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