Individual
CONNOR WAYNE SLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
272 N BROADWAY ST, TOOELE, UT 84074-2244
(435) 241-4107
Mailing address
5688 KETCH LN, STANSBURY PK, UT 84074-8170
(385) 225-7926
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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