Michelle Nichole Freeman Revelles
Behavior Technician in Ocoee, FL. Individual provider (NPI-1).
NPI number1942018692
StatusActive
Last updated in NPPESFeb 26, 2025
Details
- NPI
- 1942018692
- Entity type
- Individual (NPI-1)
- Name
- Michelle Nichole Freeman Revelles
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2024
- Certification date
- Feb 26, 2025
- Last updated
- Feb 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Other names
- Michelle Nichole Freeman Revelles (Former Name)
Practice location
2930 Maguire Rd Ste 200Ocoee, FL 34761-4750
Phone 407-602-5010
Mailing address
3003 Villa Preciosa DrKissimmee, FL 34744-4122
Phone 315-466-4329
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All 186 Behavior Technician providers in Ocoee · All 1,523 providers in Ocoee
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