Bethany Dawn Pope Disalvo
Behavior Technician in Melbourne, FL. Individual provider (NPI-1).
NPI number1184557134
StatusActive
Last updated in NPPESJul 16, 2026
Details
- NPI
- 1184557134
- Entity type
- Individual (NPI-1)
- Name
- Bethany Dawn Pope Disalvo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2026
- Certification date
- Jul 16, 2026
- Last updated
- Jul 16, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1535 W Nasa Blvd # C-1Melbourne, FL 32901-2614
Phone 321-235-6199
Mailing address
300 International Pkwy Ste 200Lake Mary, FL 32746-5028
Phone 866-610-0580 · Fax 866-611-1558
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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