Active NPI
Christine Luzuriaga, MS, CCC-SLP, BCBA,
- Behavior Analyst
- Winter Park, FL
National Provider Identifier
1447508601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BACB478525
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB478525 | FL | MD | Behavioral Analyst |
| SA12259 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affluent Learning Center PLLC | Behavior Analyst | Current | Accepting new patients |
| Florida Autism Center | Behavior Analyst | Past | Accepting new patients |
| Step N Stones Speech Language Therapy Service | Speech-Language Pathologist | Past | 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.
-
- Speech-Language Pathologist
- Winter Park, FL
- NPI 1114702800
Behavior Analyst
-
- Behavior Analyst
- Lake Mary, FL
- NPI 1639320203
-
- Behavior Analyst
- Lake Mary, FL
- NPI 1841669686
-
- Behavior Analyst
- Florence, KY
- NPI 1215682356
-
- Speech-Language Pathologist
- Thomasville, GA
- NPI 1548490113
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.