Individual
PRENTICE EDWARD DUPINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
818 N CREEK DR, CONWAY, AR 72032-4711
(501) 327-9788
(501) 327-9843
Mailing address
PO BOX 679, MORRILTON, AR 72110-0679
(501) 354-4589
(501) 354-5410
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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