Healthcare Provider Details

I. General information

NPI: 1932752557
Provider Name (Legal Business Name): MAYA WARE BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6396 THORNBERRY CT STE 710
MASON OH
45040-7815
US

IV. Provider business mailing address

800 RIVIERA DR
LAWRENCEBURG IN
47025-2063
US

V. Phone/Fax

Practice location:
  • Phone: 859-349-0400
  • Fax:
Mailing address:
  • Phone: 812-584-2065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-67196
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-19-81574
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: