Healthcare Provider Details

I. General information

NPI: 1902250079
Provider Name (Legal Business Name): NAOMI TIFFANY SPENCE MS, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NAOMI HOMAYOUNI MS, BCBA

II. Dates (important events)

Enumeration Date: 04/14/2016
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8633 ELDRIDGE PKWY
HOUSTON TX
77083-3560
US

IV. Provider business mailing address

8633 ELDRIDGE PKWY
HOUSTON TX
77083-3560
US

V. Phone/Fax

Practice location:
  • Phone: 281-971-9753
  • Fax:
Mailing address:
  • Phone: 855-782-7822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number5834
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: