Individual
MS. MARIELYS MARTINEZ IZQUIERDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
897 TOWNE CENTER DR STE 101, KISSIMMEE, FL 34759-3473
(786) 616-3573
Mailing address
5647 SYCAMORE CANYON DR, KISSIMMEE, FL 34758-1727
(786) 616-3573
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-10845
FL
222Q00000X
Developmental Therapist
—
FL
235Z00000X
Speech-Language Pathologist
SA23074
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-20-10845
BOARD CERTIFIED ASSISTANT BEHAVIOR ANALYST
—
01
—
SZ11176
SPEECH LANGUAGE PATHOLOGIST
FL
Enumeration date
05/22/2019
Last updated
11/20/2025
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