Michelle Nichole Freeman Revelles

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2930 Maguire Rd Ste 200
Ocoee, FL 34761-4750

Phone

(407) 602-5010

NPI assigned

Dec 27, 2024

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

Other names 1

• Michelle Nichole Freeman Revelles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1942018692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 VILLA PRECIOSA DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444122",
            "telephone_number": "315-466-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 MAGUIRE RD STE 200",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614750",
            "telephone_number": "407-602-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN REVELLES",
        "first_name": "MICHELLE",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "FREEMAN REVELLES",
            "middle_name": "NICHOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sherie Simone Francis-Harrison
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• Alyssa Franco
• Alyssia Frank, APRN
• Vanessa Franklin
• Maria Del Carmen Freire, PA
• Katie Frommer
• Herman Fronefield, ARNP
• Phoenix Fullenwider
• Bradley Gaddis, D.O.

• Behavior Technician in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.