Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marley Rose Disanto

Individual provider Behavior Technician · NPI 1932943412

Marley Rose Disanto is a Behavior Technician in Southgate, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1 Heritage Dr
Southgate, MI 48195-3094
Phone: (734) 767-2250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1932943412
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2024
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing address1 Heritage Dr, Southgate, MI 48195-3094

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