IndividualActive
Benjamin Disse
NPI 1912589953 · Behavior Technician · Pace, FL
Provider details
- NPI number
- 1912589953
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RBT-21-165805 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4014 Highway 90
Pace, FL 32571-1918
Phone: (850) 723-6570
Fax: (850) 994-8443
Approximate (ZIP-level) locationGet directions
Mailing address
4122 Williamson Ln # 4122
Pace, FL 32571-2237
Registry dates
- Enumerated
- 2021-04-27
- Last updated
- 2021-04-27
- Certified
- 2021-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.