DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JACOB GOBERMAN

MEDICARE: JACOB GOBERMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1912772872
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB GOBERMAN
Provider Business Mailing Address
First Line : 2805 S INDUSTRIAL HWY STE 100
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-6791
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2805 S INDUSTRIAL HWY STE 100
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-6791
Country : US
Telephone Number : 734-210-0717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2023
Last Update Date : 02/17/2026

Similar Medicare Providers

1902581457 — NATASHA HANA NAKA-ALIENNA
Practice Location Address:
2805 S INDUSTRIAL HWY STE 100
ANN ARBOR, MI
48104-6791
Practice Phone: 734-210-0717
Practice Fax:
1619827292 — KENDALL MILLER
Practice Location Address:
2805 S INDUSTRIAL HWY STE 100
ANN ARBOR, MI
48104-6791
Practice Phone: 734-210-0717
Practice Fax:
1396024816 — MRS. NIRALI BHATIA OTR/L
Practice Location Address:
2805 S INDUSTRIAL HWY STE 100
ANN ARBOR, MI
48104-6791
Practice Phone: 734-210-0717
Practice Fax:
1093225856 — ZEINAB CHAMMOUT
Practice Location Address:
2805 S INDUSTRIAL HWY STE 100
ANN ARBOR, MI
48104-6791
Practice Phone: 734-210-0717
Practice Fax:
1083122238 — PANG D YANG
Practice Location Address:
2805 S INDUSTRIAL HWY STE 100
ANN ARBOR, MI
48104-6791
Practice Phone: 734-210-0717
Practice Fax:
1386296580 — OLIVIA MARTIN
Practice Location Address:
2805 S INDUSTRIAL HWY STE 100
ANN ARBOR, MI
48104-6791
Practice Phone: 734-715-9062
Practice Fax:

Directions to “ JACOB GOBERMAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.