MICAH SLACK

SOUTH OGDEN, UT
NPI1740776426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: UT  12254646-2506)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2018-07-06
Last Update Date2023-06-21
Business Address
MICAH SLACK
6033 FASHION POINT DR
SOUTH OGDEN, UT 84403-4847
Phone number: 605-271-2690
Mailing Address
MICAH SLACK
3697 OAKRIDGE DR
BOUNTIFUL, UT 84010-5864
Phone number: 928-388-8494