Healthcare Provider Details

I. General information

NPI: 1851240196
Provider Name (Legal Business Name): LUMINARIA ABA THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2508 GARFIELD AVE SE STE B5
ALBUQUERQUE NM
87106-3759
US

IV. Provider business mailing address

2508 GARFIELD AVE SE STE B5
ALBUQUERQUE NM
87106-3759
US

V. Phone/Fax

Practice location:
  • Phone: 505-385-9472
  • Fax:
Mailing address:
  • Phone: 505-385-9472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ASHER LAX
Title or Position: OWNER
Credential:
Phone: 505-385-9472