| Rainbow Behavioral Services, Inc. | |
|
6303 Blue Lagoon Dr Ste 400 Miami FL 33126-6040 | |
| (305) 910-4081 | |
| (786) 534-7411 |
| Full Name | Rainbow Behavioral Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6303 Blue Lagoon Dr Ste 400, Miami, Florida |
| Authorized Official Name and Position | Lazaro Noel Suarez (CEO) |
| Authorized Official Contact | 3052445299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainbow Behavioral Services, Inc. Po Box 650874 Miami FL 33265-0874 Ph: (305) 244-5299 | Rainbow Behavioral Services, Inc. 6303 Blue Lagoon Dr Ste 400 Miami FL 33126-6040 Ph: (305) 910-4081 |
| NPI Number | 1174045611 |
|---|---|
| Provider Enumeration Date | 07/15/2017 |
| Last Update Date | 07/19/2021 |
| Certification Date | 07/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174045611 | NPI | - | NPPES |
| 021004300 | Medicaid | FL | |
| 017890900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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