Healthcare Provider Details

I. General information

NPI: 1306769377
Provider Name (Legal Business Name): EVERIDES ANAYA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EVITA ANAYA

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8B DUGOUT RD
HUDSON NH
03051-3505
US

IV. Provider business mailing address

8B DUGOUT RD
HUDSON NH
03051-3505
US

V. Phone/Fax

Practice location:
  • Phone: 603-921-8942
  • Fax:
Mailing address:
  • Phone: 603-921-8942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-515229
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: