Sally Michelle Izquierdo, PHD, BCBA-D, LBA, LP

Behavior Analyst · Shoreham, NY

Individual Active NPI

NPI number 1821569898

Practice location

177 Randall Rd
Shoreham, NY 11786-2341
Phone
(631) 317-0025

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NPI record

NPI
1821569898
Entity type
Individual (Type 1)
Enumeration date
December 17, 2018
Last updated
September 23, 2024
Certified
September 23, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 000446-1 NY
Psychologist 103T00000X 026348 NY

About Dr. Izquierdo

Sally Michelle Izquierdo, PHD, BCBA-D, LBA, LP is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 177 Randall Rd, Shoreham, NY 11786-2341. The NPI number 1821569898 was assigned on December 17, 2018 and the record was last updated on September 23, 2024.

Dr. Izquierdo lists 2 licenses in the registry: #000446-1 (NY) for Behavior Analyst; #026348 (NY) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sally Michelle Izquierdo, PHD, BCBA-D, LBA, LP?

The NPI number is 1821569898.

What is the phone number of Dr. Izquierdo?

The phone number listed for the practice location is (631) 317-0025.

Where is Dr. Izquierdo located?

177 Randall Rd, Shoreham, NY 11786-2341.

What is the taxonomy code for Dr. Izquierdo?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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