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Organization
LUMINESCENCE THERAPY LLC
Active
Organization
LUMINESCENCE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIOLET T REID BCBA (PRESIDENT)
(561) 900-8199
Entity
Organization
Contact information
Practice address
13424 FORT KING RD, DADE CITY, FL 33525-5214
(352) 437-3559
(352) 608-9017
Mailing address
10040 PO BOX, BROOKSVILLE, FL 36103
(352) 437-3559
(352) 608-9017
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/14/2022
Last updated
05/11/2026
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