Provider Demographics
NPI:1538615810
Name:MCNAIR, TAWANA (MA, BCBA)
Entity type:Individual
Prefix:MS
First Name:TAWANA
Middle Name:
Last Name:MCNAIR
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:TAWANA
Other - Middle Name:
Other - Last Name:MCNAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:31 CHERRY ST REAR 4
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3465
Mailing Address - Country:US
Mailing Address - Phone:475-414-8084
Mailing Address - Fax:
Practice Address - Street 1:31 CHERRY ST REAR 4
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3465
Practice Address - Country:US
Practice Address - Phone:475-414-8084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst