Individual provider Active NPI

Fabiola Rodriguez Collazo, BCBA

  • Behavior Analyst
  • Lake Worth Beach, FL
National Provider Identifier
1831716836
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-84219 Issued in FL
Practice address
1928 Lake Worth Rd
Lake Worth Beach, FL 33461-4228
Phone
(754) 703-0164
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-21-12686
Behavior Technician 106S00000X RBT-20-122366
Behavior Analyst 103K00000X 1-25-84219 FL Primary

Addresses

Primary practice location

1928 Lake Worth Rd
Lake Worth Beach, FL 33461-4228

Mailing address

5449 Pecan Dr
Loxahatchee, FL 33470-3178
Phone (754) 703-0164

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1831716836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 PECAN DR",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334703178",
            "telephone_number": "754-703-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 LAKE WORTH RD",
            "city": "LAKE WORTH BEACH",
            "state": "FL",
            "postal_code": "334614228",
            "telephone_number": "754-703-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ COLLAZO",
        "first_name": "FABIOLA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "0-21-12686",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-20-122366",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-84219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.