Provider Demographics
NPI:1184434144
Name:LUMINARY APPLIED BEHAVIOR ANALYSIS P.C.
Entity type:Organization
Organization Name:LUMINARY APPLIED BEHAVIOR ANALYSIS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:LONTAE
Authorized Official - Last Name:CONTEH
Authorized Official - Suffix:
Authorized Official - Credentials:MS BCBA LBA
Authorized Official - Phone:718-808-5830
Mailing Address - Street 1:1115 VINCENT AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-1453
Mailing Address - Country:US
Mailing Address - Phone:718-808-5830
Mailing Address - Fax:
Practice Address - Street 1:1115 VINCENT AVE APT 3
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-1453
Practice Address - Country:US
Practice Address - Phone:646-290-0962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-11
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health