Ashara Butler-Smith

Individual provider Active NPI Behavior Technician · Hyde Park, MA

NPI 1336733146 · NPPES record last updated Feb 22, 2021

Key facts

NPI
1336733146
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
26 Alwin St
Hyde Park, MA 02136-1209
Phone
(617) 999-9938
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

26 Alwin St
Hyde Park, MA 02136-1209

Mailing address

26 Alwin St
Hyde Park, MA 02136-1209
Phone (617) 999-9938

Other providers in Hyde Park, MA

All providers in Hyde Park, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.