MEDICARE: LUMINA VERITAS GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1366306094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUMINA VERITAS GROUP

Provider Business Mailing Address
First Line	:	2 N CENTRAL AVE STE 1800
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-2139
Country	:	US
Telephone Number	:	347-668-9113
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 N CENTRAL AVE STE 1800
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-4414
Country	:	US
Telephone Number	:	347-668-9113
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	SIMCHA BENDET
Credential	:
Telephone Number	:	347-668-9113

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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