Smoki Suckla

NPI #1750992384 in Midvale, Utah

Provider Information

NPI Number: 1750992384
Entity Type: Individual
Name: Smoki Suckla
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 17, 2020
Last Updated: Aug 17, 2020

Practice Location

Address: 7434 S STATE ST
City: Midvale
State: Utah
ZIP Code: 84047-2014
Phone: (801) 456-9954

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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