Provider Demographics
NPI:1215535562
Name:MCNAIR, MAYA
Entity Type:Individual
Prefix:MRS
First Name:MAYA
Middle Name:
Last Name:MCNAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MAYA
Other - Middle Name:
Other - Last Name:PASTERNAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:622 LIBBEJO DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45233-4738
Mailing Address - Country:US
Mailing Address - Phone:240-386-9548
Mailing Address - Fax:
Practice Address - Street 1:4129 E GALBRAITH RD
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:OH
Practice Address - Zip Code:45236-2417
Practice Address - Country:US
Practice Address - Phone:513-686-7809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-09
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician