Individual
ALEX RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LBA, BCBA
Contact information
Practice address
614 S MAIN ST, STILLWATER, OK 74074-4059
(559) 355-6882
Mailing address
3309 W 30TH AVE, STILLWATER, OK 74074-2251
(559) 355-6882
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44593
OK
Other
Enumeration date
10/28/2015
Last updated
11/15/2023
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