Provider Demographics
NPI:1336733146
Name:BUTLER-SMITH, ASHARA
Entity type:Individual
Prefix:
First Name:ASHARA
Middle Name:
Last Name:BUTLER-SMITH
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 1:26 ALWIN ST
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-1209
Mailing Address - Country:US
Mailing Address - Phone:617-999-9938
Mailing Address - Fax:
Practice Address - Street 1:26 ALWIN ST
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-1209
Practice Address - Country:US
Practice Address - Phone:617-999-9938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician