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NPI Code Detail

MEDICARE: ASHLEY SMITH

MEDICARE: ASHLEY SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-19-37249

General Provider Information

NPI Number : 1578182804
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY SMITH
Provider Business Mailing Address
First Line : 1001 S BROAD ST APT 945
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-3677
Country : US
Telephone Number : 267-225-5026
Fax Number :
Provider Business Practice Location Address
First Line : 2930 JASPER ST UNIT 220
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134-3526
Country : US
Telephone Number : 267-225-5026
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2020
Last Update Date : 05/09/2025

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Directions to “ ASHLEY SMITH ” Practice Location

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