Amanda Goben

Developmental Therapist · Roodhouse, IL

Individual Active NPI

NPI number 1760864334

Practice location

457 E North St
Roodhouse, IL 62082-1130
Phone
(217) 491-0159

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NPI record

NPI
1760864334
Entity type
Individual (Type 1)
Enumeration date
June 19, 2015
Last updated
June 19, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X — —

Mailing address

457 E North Street
Roodhouse, IL 62082
Phone
(217) 491-0159

About Amanda Goben

Amanda Goben is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 457 E North St, Roodhouse, IL 62082-1130. The NPI number 1760864334 was assigned on June 19, 2015 and the record was last updated on June 19, 2015.

Frequently asked questions

What is the NPI number of Amanda Goben?

The NPI number is 1760864334.

What is the phone number of Amanda Goben?

The phone number listed for the practice location is (217) 491-0159.

Where is Amanda Goben located?

457 E North St, Roodhouse, IL 62082-1130.

What is the taxonomy code for Amanda Goben?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.