Organization Active NPI

Rainbow ABA

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1295375681
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
RAINBOW ABA
Practice address
4837 Tellson PL
Orlando, FL 32812-8673
Phone
(407) 906-1477
Fax
(407) 902-0187
NPI assigned
Jan 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Angelin Irene Clarke, BCBANPI 1508255365
Title
Clinical Director and Owner
Phone
(407) 906-1477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X
Home Health Agency 251E00000X

Addresses

Primary practice location

4837 Tellson PL
Orlando, FL 32812-8673

Mailing address

4837 Tellson PL
Orlando, FL 32812-8673
Phone (407) 906-1477

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1295375681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 TELLSON PL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328128673",
            "telephone_number": "407-906-1477",
            "fax_number": "407-902-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4837 TELLSON PL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328128673",
            "telephone_number": "407-906-1477",
            "fax_number": "407-902-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "ANGELIN",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR AND OWNER",
        "authorized_official_telephone_number": "407-906-1477",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.