Amanda Kobner

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

09312 Issued in MD

Practice address

3816 Fait Ave
Baltimore, MD 21224-4329

Phone

(908) 616-6886

NPI assigned

Jan 17, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1962976530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 FAIT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244329",
            "telephone_number": "908-616-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 FAIT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244329",
            "telephone_number": "908-616-6886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Sudbrook Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212084184",
            "country_code": "US",
            "telephone_number": "410-358-1997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOBNER",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "09312",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koala Way ABA LLC
• Sachiko Marie Kobayashi
• Soma Kobayashi
• Alyssa Katherine Koberstein, PA-C
• Kobi Healthcare Services
• Dawn Kobrin-Merritts, M.D.
• Dana Kobrin, LMSW
• Lydia J Kobziff, ACNP
• Caroline N Kocabay, OTR/L
• Goknur Selen Kocak, MD

• Speech-Language Pathologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.