Organization Active NPI

Lumina Autism Center

  • Behavior Analyst
  • Alpharetta, GA
National Provider Identifier
1710333513
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BCBA# 1-11-8451 Issued in GA
Legal business name
LUMINA AUTISM CENTER
Practice address
1031 Cambridge SQ
Suite F
Alpharetta, GA 30009-1869
Phone
(404) 647-1168
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Mrs. Simona-Daniela Akcin, BCBA, MBA
Title
Clinical Director/Owner
Phone
(404) 646-1168

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X BCBA# 1-11-8451 GA Primary
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Music TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225A00000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1031 Cambridge SQ
Suite F
Alpharetta, GA 30009-1869

Mailing address

1031 Cambridge SQ
Suite F
Alpharetta, GA 30009-1869
Phone (404) 647-1168

Other identifiers 1

IdentifierTypeStateIssuer
12751126OtherGACAQH

National Provider Directory

National Provider Directory

Locations

1031 Cambridge Sq
Ste F
Alpharetta, GA 30009
Phone (404) 647-1168

12725 Century Dr
Alpharetta, GA 30009
Phone (404) 398-1997

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1710333513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 CAMBRIDGE SQ",
            "address_2": "SUITE F",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091869",
            "telephone_number": "404-647-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 CAMBRIDGE SQ",
            "address_2": "SUITE F",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091869",
            "telephone_number": "404-647-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINA AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "AKCIN",
        "authorized_official_first_name": "SIMONA-DANIELA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "404-646-1168",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA, MBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "BCBA# 1-11-8451",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12751126",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.