Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821569898 Individual Practitioner Female Practitioner

Dr. Sally Michelle Izquierdo , PhD, BCBA-D, LBA, LP

Behavior Analyst • Shoreham, NY

Professional Overview & Biography Verified Profile Summary

Dr. Sally Izquierdo, PhD, BCBA-D, LBA, LP is a registered healthcare professional specializing in Behavior Analyst in Shoreham, NY. Practice services are available at 177 RANDALL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

177 Randall Rd

Shoreham, NY 117862341

Telephone 6313170025

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Shoreham, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Shoreham, NY (5252 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-23
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License NY 000446-1

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.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License NY 026348

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 23, 2024

Registered at 177 RANDALL RD, SHOREHAM, NY 117862341 (Tel: 6313170025)

📍
Updated Business Mailing Address September 23, 2024

Registered at 177 RANDALL RD, SHOREHAM, NY 117862341 (Tel: 6313170025)

👤
Provider Name / Credentials Updated September 23, 2024

Recorded as SALLY IZQUIERDO, PHD, BCBA-D, LBA, LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2024

Psychologist (License #026348 in NY)

NPI Profile Active December 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2018

Registered at 22 W COLUMBIA ST, HEMPSTEAD, NY 115502411 (Tel: 5163311587)

📍
Updated Business Mailing Address December 17, 2018

Registered at 22 W COLUMBIA ST, HEMPSTEAD, NY 115502411 (Tel: 5163311587)

👤
Provider Name / Credentials Updated December 17, 2018

Recorded as SALLY IZQUIERDO, MA, BCBA, LBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2018

Behavior Analyst (License #000446-1 in NY)

🟢
Initial NPI Registration & Enumeration December 17, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821569898
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2018
Last Update: September 23, 2024
Sole Proprietor: No

Mailing Address

177 Randall Rd

Shoreham, NY 117862341

Phone: 6313170025

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.