Individual provider Active NPI

Megan Leigh Revolt, BCBA

  • Behavior Analyst
  • Honolulu, HI
National Provider Identifier
1770294613
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-26-2830728 Issued in HI
Practice address
2155 Kalakaua Ave Ste 701
Honolulu, HI 96815-2341
Phone
(808) 501-2362
NPI assigned
Dec 12, 2022
Last updated
Aug 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-26-2830728 HI Primary

Addresses

Primary practice location

2155 Kalakaua Ave Ste 701
Honolulu, HI 96815-2341

Mailing address

2155 Kalakaua Ave Ste 701
Honolulu, HI 96815-2341
Phone (808) 501-2362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1770294613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 KALAKAUA AVE STE 701",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152341",
            "telephone_number": "808-501-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 KALAKAUA AVE STE 701",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152341",
            "telephone_number": "808-501-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVOLT",
        "first_name": "MEGAN",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "1-26-2830728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.