MEDICARE: LUMINA BEHAVIORAL SOLUTIONS LLC

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	:	1902787674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUMINA BEHAVIORAL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	8321 EDDIE AVE
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-5436
Country	:	US
Telephone Number	:	813-302-7644
Fax Number	:

Provider Business Practice Location Address
First Line	:	8321 EDDIE AVE
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-5436
Country	:	US
Telephone Number	:	813-302-7644
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	ALANA WILLIAMS
Credential	:
Telephone Number	:	440-391-7516

Provider Enumeration Date	:	09/10/2025
Last Update Date	:	06/16/2026

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