Courtney Marie Holley

NPI #1598363830 in North Salt Lake, Utah

Provider Information

NPI Number: 1598363830
Entity Type: Individual
Name: Courtney Marie Holley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 9, 2020
Last Updated: Oct 9, 2020

Practice Location

Address: 988 SPRINGWOOD DR
City: North Salt Lake
State: Utah
ZIP Code: 84054-3043
Phone: (801) 793-0339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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