Benner, Courtney Lynne
Benner, Courtney Lynne is an individual health care provider with primary practice located at 875 South 700 East Apt 105, Orem UT 84097. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Benner, Courtney Lynne can be contacted via phone (307) 438-1768.Contact Information
Primary practice address
875 South 700 East Apt 105
Orem UT 84097
Phone: (307) 438-1768
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-19-80902 | Utah |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health | 225XM0800X | 9834370-4201 | Utah |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health | 225XM0800X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 9834370-4201 | Utah |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT-1654 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 9834370-4201 | Utah |
Profile Details
| NPI number | 1477008340 |
|---|---|
| LBN Legal business name | Benner, Courtney Lynne |
| Credentials | MOT, OTR/L, RBT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2016 |
| Last updated | Jun 10th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477008340 | NPPES |
| Utah | MEDICAID | 3008546 | |
| Utah | MEDICAID | 225X00000X |
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