Provider Demographics
NPI:1023770278
Name:SMITH, ASHLEE' N (RBT)
Entity type:Individual
Prefix:MRS
First Name:ASHLEE'
Middle Name:N
Last Name:SMITH
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX 870161 THE UNIVERSITY OF ALABAMA
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35487-0161
Mailing Address - Country:US
Mailing Address - Phone:205-348-3130
Mailing Address - Fax:
Practice Address - Street 1:603 HACKBERRY LANE
Practice Address - Street 2:THE UNIVERSITY OF ALABAMA
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401
Practice Address - Country:US
Practice Address - Phone:205-348-3130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician