Mindhaven Holistic ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MINDHAVEN HOLISTIC ABA LLC

Practice address

8861 Williamson Dr Ste 40
Elk Grove, CA 95624-1878

Phone

(404) 246-3292

NPI assigned

Nov 24, 2025

Organization subpart

No

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

Authorized official

Name

Chinasaokwu Victoria Orji

Title

Owner / Managing Member

Phone

(404) 246-3292

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1003777533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8861 WILLIAMSON DR STE 40",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8861 WILLIAMSON DR STE 40",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241878",
            "telephone_number": "404-246-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDHAVEN HOLISTIC ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "ORJI",
        "authorized_official_first_name": "CHINASAOKWU",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
        "authorized_official_telephone_number": "404-246-3292"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.