Alex Rivera, M.ED., LBA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-44593 Issued in OK

Practice address

614 S Main St
Stillwater, OK 74074-4059

Phone

(559) 355-6882

NPI assigned

Oct 28, 2015

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Education

Practice roles

Locations

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.

• Hometeam Behavioral Health LLC

  • Behavior Analyst
  • Stillwater, OK
  • NPI 1902671324
  NPD Authorized official

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1841662996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 W 30TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740742251",
            "telephone_number": "559-355-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 S MAIN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744059",
            "telephone_number": "559-355-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ALEX",
        "credential": "M.ED., LBA, BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-28",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-20-44593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lynn Ridgeway
• Linda Fay Rieman
• Amanda Dawn Rilee, BSN, RN
• Aubrey Rimer
• Megan Elizabeth Ripley, DPT
• Marshall Scott Roach, MD
• Galen Robbins, LPN
• Tera Lenay Robbs
• Robert L Moore DDS
• Tiffany Brooke Roberts Hiner, M.S., CCC-SLP

• Behavior Analyst in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.