Provider Demographics
NPI:1124760103
Name:CHASE, AUSHARA LASHA
Entity type:Individual
Prefix:
First Name:AUSHARA
Middle Name:LASHA
Last Name:CHASE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 JAYWICK AVE APT 126
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-2000
Mailing Address - Country:US
Mailing Address - Phone:202-527-8957
Mailing Address - Fax:
Practice Address - Street 1:7200 JAYWICK AVE APT 126
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-2000
Practice Address - Country:US
Practice Address - Phone:202-527-8957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst