Slack, Micah

Slack, Micah is an individual health care provider with primary practice located at 6033 Fashion Point Dr , South Ogden UT 84403-4847. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Slack, Micah can be contacted via phone (605) 271-2690.

Contact Information

Primary practice address
6033 Fashion Point Dr South Ogden UT 84403-4847
Phone: (605) 271-2690
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 12254646-2506 Utah

Profile Details

NPI number 1740776426
LBN Legal business name Slack, Micah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2018
Last updated Jun 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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