Individual
JACQUELINE MARIE WOODYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12503 E EUCLID DR STE 55, CENTENNIAL, CO 80111-6466
(888) 754-0398
Mailing address
4982 S ULSTER ST APT 604, DENVER, CO 80237-2822
(513) 252-6603
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10S00000X
N/A
—
Enumeration date
01/27/2023
Last updated
01/27/2023
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