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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA GOBEN

Active Sole Proprietor

AMANDA GOBEN is a Developmental Therapist healthcare provider located in ROODHOUSE, Illinois. NPI 1760864334 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · ROODHOUSE, IL

Registration Details

NPI Number
1760864334
Provider Type
Individual
Gender
Female
NPI Issued
Jun 19, 2015 (11.176885417053 yrs)
Last Updated
Jun 19, 2015
Sole Proprietor
Yes

Practice Information

Address
457 E NORTH ST
ROODHOUSE, IL, 620821130
Browse IL providers · Browse ZIP 62082
Phone
2174910159
Primary Specialty
Developmental Therapist
222Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.