Spark Center for Autism, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPARK CENTER FOR AUTISM, LLC

Practice address

24555 Hallwood CT
Farmington Hills, MI 48335-1667

Phone

(248) 238-9772

Fax

(844) 270-6477

NPI assigned

Jan 6, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Reena E NaamiNPI 1942568605

Title

Onwer

Phone

(248) 238-9772

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reena E Naami, MS, BCBA

  • Behavior Analyst
  • Farmington Hills, MI
  • NPI 1942568605
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1710575691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24555 HALLWOOD CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483351667",
            "telephone_number": "248-238-9772",
            "fax_number": "844-270-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24555 HALLWOOD CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483351667",
            "telephone_number": "248-238-9772",
            "fax_number": "844-270-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK CENTER FOR AUTISM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "NAAMI",
        "authorized_official_first_name": "REENA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "248-238-9772"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Ngeleka Spann
• Exzerius Spann
• Ra'Hymeka Spann
• Ashlea Sparger
• Spark Center for Autism, LLC
• Cynoda Sparkling
• Ashleigh Sparks
• Charlotte Sparks
• Davae Sparks
• Emma Sparks

• Speech-Language Pathologist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.