Organization · Type 2 NPI

Lumen Pediatric Therapy, LLC

Behavior Analyst · St. Clair Shores, MI

NPI number 1093445900 Active

Practice location

26210 Harper Ave Ste 200
St. Clair Shores, MI 48081-2203

Call (888) 485-8636 Map

Fax (586) 218-3367

Other practice locations

  • 3250 University Dr Ste 110, Auburn Hills, MI 48326-2391 · (888) 485-8636

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed
Occupational Therapist 225X00000XNone listed
Speech-Language Pathologist 235Z00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1093445900

Lumen Pediatric Therapy, LLC's National Provider Identifier is 1093445900, issued on Jun 14, 2022. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Apr 27, 2026.