BENJAMIN DISSE

PACE, FL
NPI1912589953
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: FL  rbt-21-165805)
Enumeration Date2021-04-27
Last Update Date2021-04-27
Business Address
BENJAMIN DISSE
4014 HIGHWAY 90
PACE, FL 32571-1918
Phone number: 850-723-6570
Mailing Address
BENJAMIN DISSE
4122 WILLIAMSON LN # 4122
PACE, FL 32571-2237
Phone number: