What is Nicole Revak's NPI number?

Nicole Revak's National Provider Identifier (NPI) is 1063906519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Nicole Revak's specialty?

Nicole Revak is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Nicole Revak located?

Nicole Revak's practice location on file with NPPES is 41521 W 11 Mile Rd, Novi, MI 48375-1803.

What is Nicole Revak's phone number?

The practice phone number listed in the NPPES registry for Nicole Revak is (248) 912-1640.

Is Nicole Revak's NPI active?

Yes — Nicole Revak's NPI (1063906519) is active in the NPPES registry as of the last update on 2018-06-19.

IndividualActive

Nicole Revak

NPI 1063906519 · Behavior Technician · Novi, MI

Nicole Revak is a Behavior Technician provider in Novi, MI (NPI 1063906519).

Provider details

NPI number: 1063906519
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(61/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
8 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

41521 W 11 Mile Rd

Novi, MI 48375-1803

Phone: (248) 912-1640

Street-level locationGet directions

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Mailing address