Individual
CHAD SLEMBOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2945 ROLLING KNOLLS DR, PROVO, UT 84604-4380
(480) 604-5753
Mailing address
2945 ROLLING KNOLLS DR, PROVO, UT 84604-4380
(480) 604-5753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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