Svetlana Revutsky, M.S.ED, BCBA, LBA

Primary specialty

SpecialistTaxonomy code 174400000X

License

1208095 Issued in NY

Practice address

2232 E 19TH St
Brooklyn, NY 11229-4509

Phone

(347) 558-7007

NPI assigned

Sep 27, 2012

Last updated

Feb 1, 2015By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422748800000",
    "number": "1932450137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 E 19TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294509",
            "telephone_number": "347-558-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 E 19TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294509",
            "telephone_number": "347-558-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVUTSKY",
        "first_name": "SVETLANA",
        "credential": "M.S.ED, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2015-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1208095",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000601-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revival Pharmacy LLC (Citywide Pharmacy)
• Revive Empire Chiropractic PLLC
• Revived Medical Ipa LLC
• Revived Soul Medical PC
• Revolution Physiotherapy PLLC
• Joseph Revzin, RRT
• Ruby Rew
• Rewind Physical Therapy PC
• Rexcare Pharmacy Inc. (Door To Door Pharmacy)
• Rrezona Rexha

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2015; 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.