Provider Demographics
NPI:1730959859
Name:MAYS, XODUS S
Entity type:Individual
Prefix:
First Name:XODUS
Middle Name:S
Last Name:MAYS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 BECKHAM WAY
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-4216
Mailing Address - Country:US
Mailing Address - Phone:513-883-3717
Mailing Address - Fax:
Practice Address - Street 1:121 BECKHAM WAY # 121
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-4216
Practice Address - Country:US
Practice Address - Phone:513-883-3717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician