Active NPI
Lissette Collazo
- Behavior Analyst
- Lake Worth, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 10640 Paso Fino Dr
Lake Worth, FL 33449-8018 - Phone
- (561) 667-2705
- Fax
- (561) 444-2458
- NPI assigned
- Aug 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
10640 Paso Fino Dr
Lake Worth, FL 33449-8018
Mailing address
10640 Paso Fino Dr
Wellington, FL 33449-8018
Phone (561) 667-2705
Other practice location 1
1876 Baythorne Rd
West Palm Beach, FL 33415-6306
Phone (561) 667-2705
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Minds Behavioral Health, LLC. | Behavior Analyst | Current | Accepting new patients |
| Rainbow of Life Behavioral Health Center, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
2115 10th Ave N
Lake Worth Beach, FL 33461
Phone (561) 506-3665
2119 10th Ave N
Lake Worth Beach, FL 33461
Phone (561) 444-2814
1521 Forest Hill Blvd
Ste 3B
West Palm Beach, FL 33406
Phone (561) 506-3665
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- West Palm Beach, FL
- NPI 1255846838
-
- Behavior Analyst
- Lake Worth, FL
- NPI 1841837713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1629358577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10640 PASO FINO DR",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334498018",
"telephone_number": "561-667-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10640 PASO FINO DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334498018",
"telephone_number": "561-667-2705",
"fax_number": "561-444-2458"
}
],
"practiceLocations": [
{
"address_1": "1876 Baythorne Rd",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334156306",
"country_code": "US",
"telephone_number": "561-667-2705",
"fax_number": "561-444-2458",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLAZO",
"first_name": "LISSETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-24",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.