Individual
JOSHUA D PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1750 COMMERCE CENTER BLVD, FAIRBORN, OH 45324-6333
(937) 878-8444
Mailing address
5412 WEYMOUTH CT, DAYTON, OH 45426-1444
(937) 248-9684
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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