Jasmine Alyssa Revan, RBT

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-26-2835147 Issued in FL

Practice address

107 Antilla Ave
Coral Gables, FL 33134-3301

Phone

(305) 567-5881

NPI assigned

Jun 2, 2025

Last updated

Jul 31, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Caps International Inc.

  dba Crystal Academy Primary School

  • Clinic/Center
  • Coral Gables, FL
  • NPI 1912703737
  NPD
• Caps International Inc.

  dba Crystal Academy Primary School

  • Adolescent and Children Mental Health Clinic/Center
  • Coral Gables, FL
  • NPI 1427584879
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1114810785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9949 NW 27TH TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721314",
            "telephone_number": "305-926-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ANTILLA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343301",
            "telephone_number": "305-567-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVAN",
        "first_name": "JASMINE",
        "middle_name": "ALYSSA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-26-2835147",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene F Rocha PA
• Rene Perez DO PA
• Karl Alexander Rennalls, MS, ATC, LAT
• Dena Ann Restaino, PT, DPT
• Return to Play Institute, LLC
• Revive Community Mental Health Clinics, LLC
• Rewind Medical, PC
• Mauricio Rey, CRNA (APRN)
• Isabel Cristina Reyes Cabrera
• Victor R Reyes Castillo

• Assistant Behavior Analyst in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.