JILL REVERE (NPI# 1013236645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013236645 |
| Entity Type | Individual |
| Full Name | JILL REVERE |
| Credential | BCBA |
| Practice Address |
8762 Louisana St Suite J Merrillville IN 46410-7190 |
| Practice Telephone | 2194728477 |
| Practice Fax Number | 2197509287 |
| Mailing Telephone | 2194728477 |
| Mailing Fax Number | 2197509287 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
8762 LOUISANA ST SUITE J |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-7190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334274 | Kathryn Marrs | Behavioral Analyst | 8438 Indiana St, Merrillville, IN 46410-6357 | 2020-10-21 |
| 1740898360 | Ronica Dixon | Behavioral Analyst | 7509 Pierce Pl, Merrillville, IN 46410-4678 | 2020-07-20 |
| 1881168912 | Rachel Dick | Behavioral Analyst | 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 | 2019-01-11 |
| 1396261871 | Brandi Smith | Behavioral Analyst | 1583 E 85th Ave, Merrillville, IN 46410-8901 | 2017-08-16 |
| 1356688923 | Behavior and Learning Solutions, LLC | Behavioral Analyst | 8762 Louisiana St, Suite J, Merrillville, IN 46410-7191 | 2013-01-15 |
| 1952902983 | Courtney Andrews | Behavioral Analyst | 8438 Indiana St, Merrillville, IN 46410-6357 | 2020-11-05 |
| 1629677562 | Danielle Yvonne Baker | Behavioral Analyst | 251 W 84th Dr, Merrillville, IN 46410-6243 | 2020-10-21 |
| 1891325825 | Elizabeth Anne Houchin | Behavioral Analyst | 251 W 84th Dr, Merrillville, IN 46410-6243 | 2020-01-17 |
| 1881233013 | Samantha Roadruck | Behavioral Analyst | 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 | 2020-01-06 |
| 1992365365 | Miken Brouwer | Behavioral Analyst | 8200 Georgia St, Merrillville, IN 46410-6227 | 2019-06-18 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.