Individual
DR. JOHN NATHAN TRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
122 ROSE AVE, BERRYVILLE, AR 72616-4162
(479) 381-8538
Mailing address
122 ROSE AVE, BERRYVILLE, AR 72616-4162
(479) 381-8538
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174400000X
Specialist
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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