Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Ryan Slater

Individual provider Behavior Technician · NPI 1407718489

Jack Ryan Slater is a Behavior Technician in Orem, Utah. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

475 W 260 N
Orem, UT 84057-1970
Phone: (801) 221-9930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1407718489
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 28, 2025
Last updated in NPPESNovember 28, 2025
Certification dateNovember 28, 2025
Mailing address475 W 260 N, Orem, UT 84057-1970

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