Provider Demographics
NPI:1679372213
Name:TOVAR, YAMAIRA IVETTE
Entity type:Individual
Prefix:
First Name:YAMAIRA
Middle Name:IVETTE
Last Name:TOVAR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 BIG SKY DR
Mailing Address - Street 2:
Mailing Address - City:ETTERS
Mailing Address - State:PA
Mailing Address - Zip Code:17319-9030
Mailing Address - Country:US
Mailing Address - Phone:253-961-0907
Mailing Address - Fax:
Practice Address - Street 1:5021 LOUISE DR STE C
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-9801
Practice Address - Country:US
Practice Address - Phone:717-782-0697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician