Individual
MISS AMBER NICOLE MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
204 N GENESEE ST, WAUKEGAN, IL 60085-4262
(847) 441-5600
Mailing address
1135 SKOKIE BLVD, NORTHBROOK, IL 60062-4118
(847) 441-5600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
106S00000X
Behavior Technician
Primary
RBT
IL
Other
Enumeration date
07/18/2022
Last updated
07/22/2026
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