Individual
COURTNEY RENEE MARYLIN LIGHTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4933 S 1500 W STE 210, RIVERDALE, UT 84405-7738
(801) 644-4950
Mailing address
1443 W 800 N STE 103, OREM, UT 84057-2878
(801) 655-4950
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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