Individual
NATHAN DESCHENES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3155 N COLLEGE AVE STE 108, FAYETTEVILLE, AR 72703-3500
(479) 957-9121
Mailing address
3155 N COLLEGE AVE STE 108, FAYETTEVILLE, AR 72703-3500
(479) 282-7685
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1328596
AR
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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