Provider Demographics
NPI:1689488553
Name:BUTTERWORTH, AUGUST LEAH
Entity type:Individual
Prefix:
First Name:AUGUST
Middle Name:LEAH
Last Name:BUTTERWORTH
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 1:2405 N ANKENY BLVD
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-4723
Mailing Address - Country:US
Mailing Address - Phone:515-446-2080
Mailing Address - Fax:
Practice Address - Street 1:2405 N ANKENY BLVD
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-4723
Practice Address - Country:US
Practice Address - Phone:515-446-2080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician