Individual
DR. JODI HEIDLAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 S UNION BLVD # 300, MASON, OH 45040-4349
(303) 989-8169
(303) 984-4366
Mailing address
390 UNION BLVD STE 300, LAKEWOOD, CO 80228-6514
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32865
TN
Other
Enumeration date
10/22/2024
Last updated
06/30/2025
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