Elizabeth L Smith, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3760 Lavista Rd Ste 102
Tucker, GA 30084-5622

Phone

(843) 615-5545

Fax

(678) 288-7932

NPI assigned

Dec 7, 2016

Last updated

Dec 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1306380506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 LAVISTA RD STE 102",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845622",
            "telephone_number": "843-615-5545",
            "fax_number": "678-288-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 LAVISTA RD STE 102",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845622",
            "telephone_number": "843-615-5545",
            "fax_number": "678-288-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley M. Skidmore, LCSW
• Sleep Better Atlanta, LLC (Alpha Sleep Center)
• Smiley's Hair Clinic LLC (Smiley's Hair Clinic & Mastectomy Boutique)
• Smiley's Hair Clinic LLC
• Betty Smith-Weldon, DC
• Jan T. Smith, RPH
• Kenneth B Smith
• Ledarius Smith, PHARMD
• Marissa Smith, MSW
• Susan Stacy Smith, DPT

• Behavior Technician in Tucker, GA
• Providers in Tucker, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.