Individual provider Active NPI

Marielys Martinez Izquierdo, BCABA

  • Assistant Behavior Analyst
  • Kissimmee, FL
National Provider Identifier
1831756196
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-20-10845 Issued in FL
Practice address
897 Towne Center Dr Ste 101
Kissimmee, FL 34759-3473
Phone
(786) 616-3573
NPI assigned
May 22, 2019
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X FL
Speech-Language Pathologist 235Z00000X SA23074 FL
Assistant Behavior Analyst 106E00000X 0-20-10845 FL Primary

Addresses

Primary practice location

897 Towne Center Dr Ste 101
Kissimmee, FL 34759-3473

Mailing address

5647 Sycamore Canyon Dr
Kissimmee, FL 34758-1727
Phone (786) 616-3573

Other identifiers 2

IdentifierTypeStateIssuer
0-20-10845OtherBOARD CERTIFIED ASSISTANT BEHAVIOR ANALYST
SZ11176OtherFLSPEECH LANGUAGE PATHOLOGIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA23074FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Support Therapy Group LLC Current Accepting new patients
Steps Therapy Inc. CurrentSince Jun 30, 2024 Accepting new patients
ABA Wings Inc CurrentSince Nov 24, 2025 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1831756196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5647 SYCAMORE CANYON DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347581727",
            "telephone_number": "786-616-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 TOWNE CENTER DR STE 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593473",
            "telephone_number": "786-616-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ IZQUIERDO",
        "first_name": "MARIELYS",
        "name_prefix": "Ms.",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA23074",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-20-10845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED ASSISTANT BEHAVIOR ANALYST",
            "identifier": "0-20-10845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGIST",
            "identifier": "SZ11176",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.