Active NPI
Lumina Autism Center
- Behavior Analyst
- Alpharetta, GA
National Provider Identifier
1710333513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BCBA# 1-11-8451
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BCBA# 1-11-8451 | GA | Primary |
| Art Therapist | 221700000X | |||
| Pediatric Physical Therapist | 2251P0200X | |||
| Music Therapist | 225A00000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12751126 | Other | GA | CAQH |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Behavior Analyst
- Alpharetta, GA
- NPI 1215347950
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.