Russell, Amber Nicole

Russell, Amber Nicole is an individual health care provider with primary practice located at 900 Liberty Ave , Newton IL 62448-1808. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Russell, Amber Nicole can be contacted via phone (618) 783-7529.

Contact Information

Primary practice address
900 Liberty Ave Newton IL 62448-1808
Phone: (618) 783-7529
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X BACB1230774 Illinois

Profile Details

NPI number 1093512311
LBN Legal business name Russell, Amber Nicole
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2025
Last updated Feb 25th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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