Individual
REVATI ABHAY NILAKHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 869-4546
Mailing address
15439 NW DOMINION DR, PORTLAND, OR 97229-2203
(503) 869-4546
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10256262
OR
Other
Enumeration date
08/14/2019
Last updated
09/15/2025
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