Healthcare Provider Details

I. General information

NPI: 1518884345
Provider Name (Legal Business Name): TORRI ELAINE SMITH BCBA, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 BAINBRIDGE WAY STE 300
DALLAS GA
30132-4767
US

IV. Provider business mailing address

101 BAINBRIDGE WAY STE 300
DALLAS GA
30132-4767
US

V. Phone/Fax

Practice location:
  • Phone: 770-303-0347
  • Fax:
Mailing address:
  • Phone: 770-303-0347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: