Provider Demographics
NPI:1790403905
Name:JOVER, ANAY F
Entity Type:Individual
Prefix:
First Name:ANAY
Middle Name:F
Last Name:JOVER
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 1:8195 W 36TH AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1847
Mailing Address - Country:US
Mailing Address - Phone:786-718-4005
Mailing Address - Fax:
Practice Address - Street 1:8195 W 36TH AVE APT 7
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-1847
Practice Address - Country:US
Practice Address - Phone:786-718-4005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-145182106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician