Benjamin Disse

Behavior Technician · Pace, FL

Individual Active NPI

NPI number 1912589953

Practice location

4014 Highway 90
Pace, FL 32571-1918
Phone
(850) 723-6570
Fax
(850) 994-8443

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NPI record

NPI
1912589953
Entity type
Individual (Type 1)
Enumeration date
April 27, 2021
Last updated
April 27, 2021
Certified
April 27, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X RBT-21-165805 FL

Mailing address

4122 Williamson Ln # 4122
Pace, FL 32571-2237

About Benjamin Disse

Benjamin Disse is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 4014 Highway 90, Pace, FL 32571-1918. The NPI number 1912589953 was assigned on April 27, 2021 and the record was last updated on April 27, 2021.

Benjamin Disse lists a license in the registry: #RBT-21-165805 (FL) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin Disse?

The NPI number is 1912589953.

What is the phone number of Benjamin Disse?

The phone number listed for the practice location is (850) 723-6570.

Where is Benjamin Disse located?

4014 Highway 90, Pace, FL 32571-1918.

What is the taxonomy code for Benjamin Disse?

The primary taxonomy code is 106S00000X – Behavior Technician.

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.

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