Individual
JOSHUA SLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2811 N 2350 W, FARR WEST, UT 84404-5177
(801) 452-1940
Mailing address
1989 N 2530 W, CLINTON, UT 84015-8488
(702) 302-8241
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
14218443-2506
UT
103K00000X
Behavior Analyst
Primary
LBA0925
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-17-34875
RBT CREDENTIAL
—
Enumeration date
09/11/2019
Last updated
03/13/2026
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