Provider Demographics
NPI:1831889740
Name:ASHWORTH, JAMES A (RBT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:ASHWORTH
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
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Mailing Address - Street 1:10328 COUNCILS WAY
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-4059
Mailing Address - Country:US
Mailing Address - Phone:603-361-6371
Mailing Address - Fax:
Practice Address - Street 1:3910 N US HIGHWAY 301
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-1290
Practice Address - Country:US
Practice Address - Phone:407-317-5429
Practice Address - Fax:321-800-7201
Is Sole Proprietor?:No
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-265795106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician