Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SALLY MICHELLE IZQUIERDO, PHD, BCBA-D, LBA, LP
ActiveDR. SALLY MICHELLE IZQUIERDO, PHD, BCBA-D, LBA, LP is a Behavior Analyst healthcare provider located in SHOREHAM, New York. NPI 1821569898 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · SHOREHAM, NY
Registration Details
- NPI Number
- 1821569898
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 17, 2018 (7.513224454573 yrs)
- Last Updated
- Sep 23, 2024
- Licenses
-
026348 (NY)000446-1 (NY)
Practice Information
- Address
-
177 RANDALL RDSHOREHAM, NY, 117862341Browse NY providers · Browse ZIP 11786
- Phone
- 6313170025
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in SHOREHAM, NY
| Name | Credential | NPI |
|---|---|---|
| BRIAN CONNELLY | CTRS | 1366868218 |
| JASON RICHARD SLOTE | — | 1518604735 |
| RUSSELL JOHANN | — | 1659005684 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.