Organization Active NPI

Luminescence Therapy LLC

  • Behavior Analyst
  • Dade City, FL
National Provider Identifier
1700508041
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LUMINESCENCE THERAPY LLC
Practice address
13424 Fort King Rd
Dade City, FL 33525-5214
Phone
(352) 437-3559
Fax
(352) 608-9017
NPI assigned
Sep 14, 2022
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Violet T Reid, BCBANPI 1033621743
Title
President
Phone
(561) 900-8199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

13424 Fort King Rd
Dade City, FL 33525-5214

Mailing address

10040 PO Box
Brooksville, FL 36103
Phone (352) 437-3559

Other practice location 1

605 LaMar Ave
Brooksville, FL 34601-3211
Phone (352) 437-3559

Other practice location 2

12880 US 301
Dade City, FL 33525-5801
Phone (352) 437-3559

National Provider Directory

National Provider Directory

Locations

13424 Fort King Rd
Dade City, FL 33525
Phone (352) 347-3559

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1700508041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 PO BOX",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "36103",
            "telephone_number": "352-437-3559",
            "fax_number": "352-608-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13424 FORT KING RD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335255214",
            "telephone_number": "352-437-3559",
            "fax_number": "352-608-9017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 LaMar Ave",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346013211",
            "country_code": "US",
            "telephone_number": "352-437-3559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12880 US 301",
            "address_purpose": "LOCATION",
            "city": "Dade City",
            "state": "FL",
            "postal_code": "335255801",
            "country_code": "US",
            "telephone_number": "352-437-3559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUMINESCENCE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "VIOLET",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-900-8199",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.