Staisha Matthews, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-63904 Issued in GA

Practice address

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

Phone

(470) 655-1970

Fax

(470) 655-1048

NPI assigned

Jan 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apollo Behavior Services LLC

  • Behavior Analyst
  • Suwanee, GA
  • NPI 1649813718
  NPD (past)

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1164061511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL PKWY STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5328 LANIER ISLANDS PKWY UNIT 101",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305189071",
            "telephone_number": "470-655-1970",
            "fax_number": "470-655-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "STAISHA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-19-87865",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-23-63904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aji Aleyama Mathew, DDS
• Natasha Donjoie Mathieu, DC
• Ashley Matsinger
• Sharon Templeton Matson, FNP-C
• Kelly Todd Matthes, LCSW
• Maxtherapy LLC
• Leyland Mayne
• Nalini Mayroo-Yang, PHARMD
• Norlydia F. McBee, PH.D.
• Laura Crace McBurnett, PT

• Behavior Analyst in Buford, GA
• Providers in Buford, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.