Organization
SUPPORT THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISMERY D MORALES MARTINEZ SLP/BCBA (MANAGER)
(407) 486-3297
Entity
Organization
Contact information
Practice address
3240 AIRFIELD DR E STE 202, SUITE 202, LAKELAND, FL 33811-1247
(646) 966-2583
(407) 386-6505
Mailing address
3240 AIRFIELD DR E STE 202, LAKELAND, FL 33811-1247
(646) 966-2583
(407) 386-6505
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
08/26/2022
Last updated
09/09/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up