| Rainbow Of Life Behavioral Health Center, Llc | |
|
2115 10th Ave N Lake Worth Beach FL 33461-3345 | |
| (561) 506-3665 | |
| (561) 444-2458 |
| Full Name | Rainbow Of Life Behavioral Health Center, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2115 10th Ave N, Lake Worth Beach, Florida |
| Authorized Official Name and Position | Lissette Collazo (OWNER) |
| Authorized Official Contact | 5616672705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainbow Of Life Behavioral Health Center, Llc 2115 10th Ave N Lake Worth Beach FL 33461-3345 Ph: (561) 506-3665 | Rainbow Of Life Behavioral Health Center, Llc 2115 10th Ave N Lake Worth Beach FL 33461-3345 Ph: (561) 506-3665 |
| NPI Number | 1841837713 |
|---|---|
| Provider Enumeration Date | 12/10/2019 |
| Last Update Date | 08/10/2023 |
| Certification Date | 08/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841837713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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