Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Sally Michelle Izquierdo, PHD, BCBA-D, LBA, LP

Individual provider Psychologist · NPI 1821569898

Dr. Sally Michelle Izquierdo, PHD, BCBA-D, LBA, LP is a Psychologist in Shoreham, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

177 Randall Rd
Shoreham, NY 11786-2341
Phone: (631) 317-0025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 000446-1 (NY)
Psychologist Taxonomy 103T00000X · Licence 026348 (NY)

Record details

NPI number1821569898
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , BCBA-D , LBA , LP
Sole proprietorNo
NPI enumeratedDecember 17, 2018
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

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