Heidi Lynn Moore

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

RBT-25-440140 Issued in OK

Practice address

140 S Main St
Stillwater, OK 74074-3504

Phone

(559) 355-6882

NPI assigned

May 31, 2025

Sex

Female

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

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.

• Hometeam Behavioral Health LLC

  • Behavior Analyst
  • Stillwater, OK
  • NPI 1902671324
  NPD (past)

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

{
    "created_epoch": "1748649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1891688594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14474 S HUDSON AVE",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740084022",
            "telephone_number": "918-613-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S MAIN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740743504",
            "telephone_number": "559-355-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-31",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "RBT-25-440140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Louise Moore, RBT
• Brandy Moore, PHARMD
• Erin Moore, LSCW CANDIDATE
• Galela Ann Moore, MCP LPC
• Gloria Moore, LPC
• Jill Ann Moore, MS, RD
• Lloyd B. Moore, MD
• Megan S Moore
• Robert L Moore, DDS
• Shawna Donise Moore, PSYD, LPC, BCBA

• 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 May 31, 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.