Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lumen Pediatric Therapy, LLC

Organization Behavior Analyst · NPI 1093445900

Lumen Pediatric Therapy, LLC is a Behavior Analyst in Saint Clair Shores, Michigan. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

26210 Harper Ave Ste 200
Saint Clair Shores, MI 48081-2203
Phone: (888) 485-8636
Fax: (586) 218-3367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3250 University Dr Ste 110, Auburn Hills, MI 48326-2391 — (888) 485-8636

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1093445900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayne Kvintus — Chief Executive Officer · (313) 550-6258
NPI enumeratedJune 14, 2022
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address26210 Harper Ave Ste 200, Saint Clair Shores, MI 48081-2203

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