Healthcare Provider Details

I. General information

NPI: 1366306094
Provider Name (Legal Business Name): LUMINA VERITAS GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 N CENTRAL AVE STE 1800
PHOENIX AZ
85004-4414
US

IV. Provider business mailing address

2 N CENTRAL AVE STE 1800
PHOENIX AZ
85004-2139
US

V. Phone/Fax

Practice location:
  • Phone: 347-668-9113
  • Fax:
Mailing address:
  • Phone: 347-668-9113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: SIMCHA BENDET
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 347-668-9113