Revere, Jill

Revere, Jill is an sole proprietor health care provider with primary practice located at 1477 E 83Rd Ave , Merrillville IN 46410-6307. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Revere, Jill can be contacted via phone (219) 472-0628.

Contact Information

Primary practice address
1477 E 83Rd Ave Merrillville IN 46410-6307
Phone: (219) 472-0628
Fax: (219) 750-9287
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1013236645
LBN Legal business name Revere, Jill
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2010
Last updated Jun 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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