Healthcare Provider Details

I. General information

NPI: 1174149728
Provider Name (Legal Business Name): CHILDREN'S AUTISM ASSESSMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2020
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1866 INDEPENDENCE SQ
ATLANTA GA
30338-5150
US

IV. Provider business mailing address

1866 INDEPENDENCE SQ
ATLANTA GA
30338-5150
US

V. Phone/Fax

Practice location:
  • Phone: 404-390-1322
  • Fax: 404-835-0001
Mailing address:
  • Phone: 404-390-1322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. BRANDI D SMITH
Title or Position: PSYCHOLOGIST, OWNER
Credential: PSY.D.
Phone: 478-319-6028