Individual provider Active NPI

Josue Izquierdo Marin

  • Behavior Technician
  • Kissimmee, FL
National Provider Identifier
1942185038
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1975 S John Young Pkwy Ste 203
Kissimmee, FL 34741-0605
Phone
(407) 201-6255
Fax
(407) 201-7195
NPI assigned
Aug 7, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1975 S John Young Pkwy Ste 203
Kissimmee, FL 34741-0605

Mailing address

5091 Silver Thistle LN
Saint Cloud, FL 34772-7072
Phone (682) 306-8483

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

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1942185038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5091 SILVER THISTLE LN",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347727072",
            "telephone_number": "682-306-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 S JOHN YOUNG PKWY STE 203",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347410605",
            "telephone_number": "407-201-6255",
            "fax_number": "407-201-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZQUIERDO MARIN",
        "first_name": "JOSUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 7, 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.