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Lissette Collazo

Behavior Analyst β€’ Lake Worth, FL

Active NPI 1629358577 Individual Practitioner Female Practitioner
Practice location in NPPES

10640 Paso Fino Dr
Lake Worth, FL 334498018

Call 5616672705 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10640 Paso Fino Dr

Lake Worth, FL 334498018

Telephone 5616672705
Fax 5614442458
Organization at the Same NPPES Address or Phone
Rainbow Of Life Behavioral Health Center, Llc Facility NPI 1841837713

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in West Palm Beach, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lake Worth and Florida

51 active clinicians are listed under Behavior Analyst with a practice address in Lake Worth, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lake Worth

0% of these 51 clinicians have the CMS telehealth indicator.

0% of these 51 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-08-05
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

1876 Baythorne Rd

West Palm Beach, FL 334156306

Phone: 5616672705

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location August 05, 2026

Registered at 10640 PASO FINO DR, LAKE WORTH, FL 334498018 (Tel: 5616672705)

πŸ“
Updated Practice Location August 10, 2023

Registered at 2115 10TH AVE N, LAKE WORTH BEACH, FL 334613345 (Tel: 5615063665)

πŸ“
Updated Business Mailing Address August 10, 2023

Registered at 10640 PASO FINO DR, WELLINGTON, FL 334498018 (Tel: 5616672705)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2023

Behavior Analyst

πŸ“
Updated Practice Location August 02, 2022

Registered at 1521 FOREST HILL BLVD STE 3B, LAKE CLARKE SHORES, FL 334066031 (Tel: 5615063665)

πŸ“
Updated Business Mailing Address August 02, 2022

Registered at 633 SEA PINE WAY APT C, GREENACRES, FL 334158938 (Tel: 5616672705)

πŸ‘€
Provider Name / Credentials Updated August 02, 2022

Recorded as LISSETTE COLLAZO

βœ…
NPI Profile Active August 24, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 24, 2011

Registered at 1551 FORUM PL # 400D&E, WEST PALM BEACH, FL 334012319 (Tel: 5616168411)

πŸ“
Business Mailing Address (Initial Record) August 24, 2011

Registered at 1551 FORUM PL # 400D&E, WEST PALM BEACH, FL 334012319 (Tel: 5616168411)

πŸ‘€
Provider Name / Credentials (Initial Record) August 24, 2011

Recorded as LISSETTE COLLAZO, MSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2011

Social Worker

🟒
Initial NPI Registration & Enumeration August 24, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629358577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2011
Last Update: August 05, 2026
Sole Proprietor: No

Mailing Address

10640 Paso Fino Dr

Wellington, FL 334498018

Phone: 5616672705

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.