Organization
HOMETEAM BEHAVIORAL HEALTH LLC
Active
Other names
Hometeam Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX RIVERA BCBA (CLINICAL DIRECTOR)
(559) 355-6882
Entity
Organization
Contact information
Practice address
406 E HALL OF FAME AVE STE 250, STILLWATER, OK 74075-5436
(918) 216-0242
Mailing address
3309 W 30TH AVE, STILLWATER, OK 74074-2251
(559) 355-6882
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201216170A
—
OK
05
—
201216170B
—
OK
05
—
201216170C
—
OK
Enumeration date
11/15/2023
Last updated
06/26/2025
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