Individual
MR. MARTY DEWAYNE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, BCBA
Contact information
Practice address
402 E PLAZA DR STE 4, CARTERVILLE, IL 62918-2091
(618) 319-6060
(618) 681-6824
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
(618) 937-1440
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18488
—
Other
Enumeration date
08/16/2016
Last updated
07/22/2022
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