LUMEN PEDIATRIC THERAPY, LLC
NPI 1093445900
Behavior Analyst in Saint Clair Shores, MI

Q: What is Lumen Pediatric Therapy, LLC's NPI number?

The NPI number for Lumen Pediatric Therapy, LLC is 1093445900. It was assigned to this organization in the NPPES registry on June 14, 2022.

Q: What is Lumen Pediatric Therapy, LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since June 14, 2022

26210 HARPER AVE STE 200, SAINT CLAIR SHORES, MI 48081(888) 485-8636(586) 218-3367 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2026, Feb 11, 2025, Aug 18, 2024 and 4 more (7 updates tracked since 2022).

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About Lumen Pediatric Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUMEN PEDIATRIC THERAPY, LLC (NPI 1093445900) is a healthcare organization registered as a behavior analyst in Saint Clair Shores, Michigan and active in the NPI registry since June 2022. The organization maintains a secondary practice location in Auburn Hills and lists Wayne Kvintus, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1093445900

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NameLUMEN PEDIATRIC THERAPY, LLC

Location Address26210 HARPER AVE STE 200Saint Clair Shores, MI 48081-2203

Mailing Address26210 Harper Ave Ste 200Saint Clair Shores, MI 48081-2203 · (888) 485-8636

Phone(888) 485-8636

Fax(586) 218-3367

Organization SubpartNo

Authorized OfficialWayne KvintusChief Executive Officer · (313) 550-6258

Enumeration DateJune 14, 2022

Last NPPES UpdateApril 27, 20267 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1093445900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

26210 HARPER AVE STE 200, Saint Clair Shores, MI 48081

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Secondary Practice Location 1

Location 13250 University Dr Ste 110Auburn Hills, MI 48326-2391 · Phone (888) 485-8636 · Fax (586) 218-3367

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAYLYN ELLEN SCHLAF

Behavior Technician