Matthews, Staisha

Matthews, Staisha is an individual health care provider with primary practice located at 1360 Caduceus Way Ste 101 , Watkinsville GA 30677-7300. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Matthews, Staisha can be contacted via phone (407) 915-7258.

Contact Information

Primary practice address
1360 Caduceus Way Ste 101 Watkinsville GA 30677-7300
Phone: (407) 915-7258
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-87865 Georgia
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-23-63904 Georgia

Profile Details

NPI number 1164061511
LBN Legal business name Matthews, Staisha
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2020
Last updated Feb 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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