Organization Active NPI

Rainbow of Life Behavioral Health Center, LLC

  • Behavior Analyst
  • Lake Worth, FL
National Provider Identifier
1841837713
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
RAINBOW OF LIFE BEHAVIORAL HEALTH CENTER, LLC
Practice address
10640 Paso Fino Dr
Lake Worth, FL 33449-8018
Phone
(561) 667-2705
Fax
(561) 444-2458
NPI assigned
Dec 10, 2019
Last updated
Aug 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Lissette Collazo, LCSWNPI 1629358577
Title
Owner
Phone
(561) 667-2705

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

10640 Paso Fino Dr
Lake Worth, FL 33449-8018

Mailing address

10640 Paso Fino Dr
Lake Worth, FL 33449-8018
Phone (561) 667-2705

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL rainbowoflifebhc@gmail.com

National Provider Directory

National Provider Directory

Locations

2115 10th Ave N
Lake Worth Beach, FL 33461
Phone (561) 506-3665

1521 Forest Hill Blvd
Ste 3B
West Palm Beach, FL 33406
Phone (561) 506-3665

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1841837713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "RAINBOW OF LIFE BEHAVIORAL HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-667-2705",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rainbowoflifebhc@gmail.com",
            "affiliation": "N",
            "address_1": "1876 Baythorne Rd",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334156306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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.

Verify at the official NPI Registry.