Jill Revere, BCBA
NPI #1013236645 in Merrillville, Indiana
Provider Information
- NPI Number
- 1013236645
- Entity Type
- Individual
- Name
- Jill Revere, BCBA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA
- Enumeration Date
- May 21, 2010
- Last Updated
- Jun 25, 2021
Practice Location
- Address
- 1477 E 83RD AVE
- City
- Merrillville
- State
- Indiana
- ZIP Code
- 46410-6307
- Phone
- (219) 472-0628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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