Healthcare Provider Details

I. General information

NPI: 1609724897
Provider Name (Legal Business Name): LUMINA HARMONY BEHAVIOR INTERVENTION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2026
Last Update Date: 05/24/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 HUDSON ST FL 21
JERSEY CITY NJ
07302-3929
US

IV. Provider business mailing address

101 HUDSON ST FL 21
JERSEY CITY NJ
07302-3929
US

V. Phone/Fax

Practice location:
  • Phone: 201-304-7878
  • Fax:
Mailing address:
  • Phone: 201-304-7878
  • 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: YI QIU
Title or Position: MANAGING MEMBER
Credential:
Phone: 201-304-7878