DR. SALLY MICHELLE IZQUIERDO PHD, BCBA-D, LBA, LP
NPI 1821569898
Behavior Analyst in Shoreham, NY

Q: What is Sally Izquierdo's NPI number?

The NPI number for Sally Izquierdo is 1821569898. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Q: What is Sally Izquierdo's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Sally Izquierdo was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 17, 2018

177 RANDALL RD, SHOREHAM, NY 11786(631) 317-0025 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2024, Dec 17, 2018 (2 updates tracked since 2018).

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About Dr. Sally Michelle Izquierdo Phd, Bcba-d, Lba, Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SALLY MICHELLE IZQUIERDO PHD, BCBA-D, LBA, LP (NPI 1821569898) is an individual behavior analyst provider in Shoreham, New York, licensed in New York (000446-1) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1821569898

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameDR. SALLY MICHELLE IZQUIERDOCredential: PHD, BCBA-D, LBA, LP

Location Address177 RANDALL RDShoreham, NY 11786-2341

Mailing Address177 Randall RdShoreham, NY 11786-2341 · (631) 317-0025

Phone(631) 317-0025

Sole ProprietorNo

Enumeration DateDecember 17, 2018

Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1821569898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in NY · 000446-1

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedPsychologistTaxonomy 103T00000X · License 026348 (NY)

177 RANDALL RD, Shoreham, NY 11786

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Izquierdo's NPI number?

The NPI number for Sally Izquierdo is 1821569898. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Sally Izquierdo located?

Sally Izquierdo practices at 177 Randall Rd, Shoreham, NY 11786. The listed phone number is (631) 317-0025.

What is Sally Izquierdo's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Sally Izquierdo was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.