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Individual

COURTNEY LYNN RIEDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
219 42ND ST, SPRINGFIELD, OR 97478-5937
(541) 224-8967
Mailing address
31806 COTTAGE GROVE LORANE RD, COTTAGE GROVE, OR 97424-9748
(503) 420-9200

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10257432
OR
106S00000X
Behavior Technician

Other

Enumeration date
02/13/2023
Last updated
08/07/2025
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