Provider Demographics
NPI:1609524883
Name:SLIKKER, NATALIE JOANNE (MA, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:JOANNE
Last Name:SLIKKER
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9815 S MONROE ST STE 400
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-4297
Mailing Address - Country:US
Mailing Address - Phone:801-685-7070
Mailing Address - Fax:855-218-7224
Practice Address - Street 1:9815 S MONROE ST STE 400
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-4297
Practice Address - Country:US
Practice Address - Phone:801-685-7070
Practice Address - Fax:855-218-7224
Is Sole Proprietor?:No
Enumeration Date:2022-03-16
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBEH-000956103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-22-57446OtherBCBA CERTIFICATE