Individual
HEIDI A JILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 W WINNEBAGO ST APT 125, MILWAUKEE, WI 53205-2562
(773) 600-1842
Mailing address
901 W WINNEBAGO ST APT 125, MILWAUKEE, WI 53205-2562
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WI
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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