Micah Slack

NPI #1740776426 in South Ogden, Utah

Provider Information

NPI Number: 1740776426
Entity Type: Individual
Name: Micah Slack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jul 6, 2018
Last Updated: Jun 21, 2023

Practice Location

Address: 6033 FASHION POINT DR
City: South Ogden
State: Utah
ZIP Code: 84403-4847
Phone: (605) 271-2690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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