Benjamin Disse

NPI #1912589953 in Pace, Florida

Provider Information

NPI Number: 1912589953
Entity Type: Individual
Name: Benjamin Disse
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 27, 2021
Last Updated: Apr 27, 2021

Practice Location

Address: 4014 HIGHWAY 90
City: Pace
State: Florida
ZIP Code: 32571-1918
Phone: (850) 723-6570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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