Organization
SPARK CENTER FOR AUTISM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REENA NAAMI M.S, BCBA (OWNER)
(248) 238-9772
Entity
Organization
Contact information
Practice address
24125 DRAKE RD, FARMINGTON HILLS, MI 48335-3108
(248) 238-9772
Mailing address
24125 DRAKE RD, FARMINGTON HILLS, MI 48335-3108
(248) 238-9772
(844) 270-6477
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
11212642
MI
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/22/2014
Last updated
03/24/2022
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