Individual provider · Type 1 NPI
Amanda Goben
Developmental Therapist · Roodhouse, IL
Practice location
457 E North St
Roodhouse, IL 62082-1130
Mailing address
457 E North Street
Roodhouse, IL 62082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
About NPI 1760864334
Amanda Goben's National Provider Identifier is 1760864334, issued on Jun 19, 2015. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Roodhouse, IL. The record was last updated on Jun 19, 2015.