Individual
JASMINE ALYSSA REVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
107 ANTILLA AVE, CORAL GABLES, FL 33134-3301
(305) 567-5881
Mailing address
9949 NW 27TH TER, DORAL, FL 33172-1314
(305) 926-1368
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-26-2835147
FL
106S00000X
Behavior Technician
—
FL
Other
Enumeration date
06/02/2025
Last updated
07/31/2026
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