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
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