Organization
SPARK CENTER FOR AUTISM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REENA E NAAMI (ONWER)
(248) 238-9772
Entity
Organization
Contact information
Practice address
24555 HALLWOOD CT, FARMINGTON HILLS, MI 48335-1667
(248) 238-9772
(844) 270-6477
Mailing address
24555 HALLWOOD CT, FARMINGTON HILLS, MI 48335-1667
(248) 238-9772
(844) 270-6477
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
02/09/2021
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