Individual provider Active NPI

Christine Luzuriaga, MS, CCC-SLP, BCBA,

  • Behavior Analyst
  • Winter Park, FL
National Provider Identifier
1447508601
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BACB478525 Issued in FL
Practice address
2045 Nottingham Dr
Winter Park, FL 32792-2232
Phone
(407) 419-1138
NPI assigned
Aug 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BACB478525 FL Primary
Speech-Language Pathologist 235Z00000X SA12259 FL

Addresses

Primary practice location

2045 Nottingham Dr
Winter Park, FL 32792-2232

Mailing address

2045 Nottingham Dr
Winter Park, FL 32792-2232
Phone (407) 419-1138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508002633 FL Practitioner - Qualified Speech Language Pathologist 4183063662 Reassigns benefits to 1 organization
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
BACB478525FLMDBehavioral Analyst
SA12259FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Affluent Learning Center PLLC Behavior Analyst CurrentSince Mar 18, 2024 Accepting new patients
Florida Autism Center Behavior Analyst PastSince May 10, 2020 Accepting new patients
Step N Stones Speech Language Therapy Service Speech-Language Pathologist PastSince Dec 1, 2022 Accepting new patients
Commonwealth Autism Care Behavior Analyst Past Accepting new patients
Florida Autism Center Behavior Analyst Past Accepting new patients

Locations

60 S Semoran Blvd
Orlando, FL 32807
Phone (407) 286-5730

6903 University Blvd
Winter Park, FL 32792
Phone (407) 419-1138

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1447508601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 NOTTINGHAM DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922232",
            "telephone_number": "407-419-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 NOTTINGHAM DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922232",
            "telephone_number": "407-419-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZURIAGA",
        "first_name": "CHRISTINE",
        "credential": "MS, CCC-SLP, BCBA,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-20",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "BACB478525",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.