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

Micah Slack

Individual provider Behavior Technician · NPI 1740776426

Micah Slack is a Behavior Technician in South Ogden, Utah. Works from 3 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

6033 Fashion Point Dr
South Ogden, UT 84403-4847
Phone: (605) 271-2690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1438 N Highway 89 Ste 130, Farmington, UT 84025-2737 — (605) 271-2690
  • 515 700 E, Salt Lake City, UT 84102 — (801) 935-4171

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 12254646-2506 (UT)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1740776426
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2018
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023
Mailing address3697 Oakridge Dr, Bountiful, UT 84010-5864

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