Ravin Janine Prucey, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-376905 Issued in IN

Practice address

418 E Mishawaka Ave
Mishawaka, IN 46545-6820

Phone

(574) 323-0922

Fax

(574) 323-0922

NPI assigned

Aug 5, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Spectrum Behavioral Services LLC

  • Behavior Analyst
  • Mishawaka, IN
  • NPI 1548858160
  NPD

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1861376592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W GROVE ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456052",
            "telephone_number": "574-395-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E MISHAWAKA AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456820",
            "telephone_number": "574-323-0922",
            "fax_number": "574-323-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUCEY",
        "first_name": "RAVIN",
        "middle_name": "JANINE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-24-376905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Paul Priebe, M.D.
• Timothy Primrose, NP
• Privia Medical Group Indiana, LLC
• Privia Medical Group Indiana, LLC
• Progressive Pediatric Therapy Inc.
• Psych Pointe LLC
• Psychology Associates, P.C.
• Joseph J Pulvirenti, MD
• Kristene Qualls
• Margaret Ann Quate-Operacz, M.D.

• All providers in Mishawaka, IN
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.