Shapphira McIntosh

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12583625 Issued in GA

Practice address

235 E Ponce de Leon Ave Ste 265
Decatur, GA 30030-1106

Phone

(678) 427-1805

NPI assigned

Aug 27, 2025

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Wisteria Psychological Services LLC

  • Behavior Analyst
  • Atlanta, GA
  • NPI 1407683295
  NPD

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1730068677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 MASON WOODS DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293804",
            "telephone_number": "678-427-1805",
            "fax_number": "404-282-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E PONCE DE LEON AVE STE 265",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301106",
            "telephone_number": "678-427-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "SHAPPHIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "12583625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean P McGrath, MD
• Kayla McGriff
• Laura Ashley McGuire
• Bridgett McInnis
• Costella McIntosh
• William J McIntosh, PHD
• Contance Jean McKee, MD
• Tequila McKeiver
• Pauline Ann McKenzie-Day, M.S., LPC
• Eleanor Kathryn McKenzie, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.