Staisha Matthews, BCBA

Behavior Analyst · Buford, GA

Individual Active NPI

NPI number 1164061511

Practice location

5328 Lanier Islands Pkwy Unit 101
Buford, GA 30518-9071
Phone
(470) 655-1970
Fax
(470) 655-1048

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NPI record

NPI
1164061511
Entity type
Individual (Type 1)
Enumeration date
January 2, 2020
Last updated
June 11, 2025
Certified
June 11, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-23-63904 GA
Behavior Technician 106S00000X RBT-19-87865 GA

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028

About Staisha Matthews

Staisha Matthews, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 5328 Lanier Islands Pkwy Unit 101, Buford, GA 30518-9071. The NPI number 1164061511 was assigned on January 2, 2020 and the record was last updated on June 11, 2025.

Staisha Matthews lists 2 licenses in the registry: #1-23-63904 (GA) for Behavior Analyst; #RBT-19-87865 (GA) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Staisha Matthews, BCBA?

The NPI number is 1164061511.

What is the phone number of Staisha Matthews?

The phone number listed for the practice location is (470) 655-1970.

Where is Staisha Matthews located?

5328 Lanier Islands Pkwy Unit 101, Buford, GA 30518-9071.

What is the taxonomy code for Staisha Matthews?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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