Dawson Brothers

Individual provider Active NPI Behavior Technician · Sumterville, FL

NPI 1962200295 · NPPES record last updated Mar 4, 2025

Key facts

NPI
1962200295
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-25-413669 (FL)
Practice address
2212 CR 528
Sumterville, FL 33585-5214
Phone
(352) 569-4252
NPI assigned
Mar 4, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-25-413669FLMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-413669 FL Yes

Addresses

Primary practice location

2212 CR 528
Sumterville, FL 33585-5214

Mailing address

2212 CR 528
Sumterville, FL 33585-5214
Phone (352) 569-4252

Other providers in Sumterville, FL

All providers in Sumterville, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.