Healthcare Provider Details

I. General information

NPI: 1609636505
Provider Name (Legal Business Name): NATURAL SMARTS ABA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2024
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 TECHNOLOGY CT SE STE E
SMYRNA GA
30082-5203
US

IV. Provider business mailing address

200 TECHNOLOGY CT SE STE E
SMYRNA GA
30082-5203
US

V. Phone/Fax

Practice location:
  • Phone: 770-277-6293
  • Fax: 770-288-0446
Mailing address:
  • Phone: 770-277-6293
  • Fax: 770-288-0446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ULRICH BENTOR
Title or Position: CEO
Credential:
Phone: 678-687-8965