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NPI Code Detail

MEDICARE: LUMINATE ABA THERAPY

MEDICARE: LUMINATE ABA THERAPY
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1942194618
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUMINATE ABA THERAPY
Provider Business Mailing Address
First Line : 9 MANHATTAN SQ STE B
Second Line :
City : HAMPTON
State : VA
Zip : 23666-6263
Country : US
Telephone Number : 757-284-3997
Fax Number : 757-821-2261
Provider Business Practice Location Address
First Line : 9 MANHATTAN SQ STE B
Second Line :
City : HAMPTON
State : VA
Zip : 23666-6263
Country : US
Telephone Number : 757-284-3997
Fax Number : 757-821-2261
Authorized Official
Title or Position : OWNER/CLINICAL DIRECTOR
Name : EMILY J FERRELL
Credential : BCBA, LBA
Telephone Number : 757-559-6198
Provider Enumeration Date : 06/05/2025
Last Update Date : 02/02/2026

Similar Medicare Providers

1760998629 — EMILY FERRELL BCBA, LBA
Practice Location Address:
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23666-6263
Practice Phone: 757-284-3997
Practice Fax:
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1144537259 — REINA M BROWN PT, DPT
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1750713822 — CHANDRA DELYN MCFARLAND PT, DPT
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HAMPTON, VA
23666-6263
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Practice Fax: 757-825-0392
1013679901 — MISS JAIMIE ALISON BROWN PTA
Practice Location Address:
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23666-6263
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Practice Fax:
1700517521 — ADDISON LANG
Practice Location Address:
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Directions to “LUMINATE ABA THERAPY ” Practice Location

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