NPI 1013236645

Jill Revere, BCBA

Practitioner Behavior Analyst Merrillville, IN

Practice location

Address: 1477 E 83rd Ave, Merrillville, IN 46410-6307
Phone: (219) 472-0628
Fax: (219) 750-9287

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1013236645
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2010
Record last updated: 25 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.