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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICAH SLACK

Active

MICAH SLACK is a Behavior Analyst healthcare provider located in SOUTH OGDEN, Utah. NPI 1740776426 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · SOUTH OGDEN, UT

Registration Details

NPI Number
1740776426
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2018 (8.1318142257683 yrs)
Last Updated
Jun 21, 2023
License
12254646-2506 (UT)

Practice Information

Address
6033 FASHION POINT DR
SOUTH OGDEN, UT, 844034847
Browse UT providers · Browse ZIP 84403
Phone
6052712690
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Behavior Analyst

Other Behavior Analyst Providers in SOUTH OGDEN, UT

Name Credential NPI
AMY SUDBURY 1457768996
SHAYE THOMPSON 1437528106
BRITTANY CASE 1427416247
AMY HASLAM BCBA 1174981914
MISS SARAH DIXON 1598124554
KRISTEN CARPENTER MT-BC 1477912350
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.