MICAH SLACK

Behavior Analyst

Active Individual
NPI: 1740776426

Practice Address

6033 FASHION POINT DR
South Ogden, UT 84403

Phone: (605) 271-2690

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X No -
Behavior Analyst 103K00000X Yes 12254646-2506 (UT)

Frequently Asked Questions

NPI 1740776426 is the National Provider Identifier for MICAH SLACK, a Behavior Analyst provider located in South Ogden, UT. This NPI was enumerated on July 6, 2018.
MICAH SLACK practices at 6033 FASHION POINT DR, South Ogden, UT 84403.

Quick Facts

NPI
1740776426
Type
Individual
Enumerated
Jul 6, 2018
Last Updated
Jun 21, 2023

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