Organization Active NPI

Theotokos ABA Therapy, LLC

  • Behavior Analyst
  • Santa Clarita, CA
National Provider Identifier
1699648865
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
THEOTOKOS ABA THERAPY, LLC
Practice address
18046 Beneda LN Apt B105
Santa Clarita, CA 91351-3016
Phone
(818) 401-6974
NPI assigned
Sep 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Mirna HabibNPI 1821530668
Title
Bcba
Phone
(818) 401-6974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

18046 Beneda LN Apt B105
Santa Clarita, CA 91351-3016

Mailing address

18046 Beneda LN Apt B105
Santa Clarita, CA 91351-3016
Phone (818) 401-6974

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1699648865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18046 BENEDA LN APT B105",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913513016",
            "telephone_number": "818-401-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18046 BENEDA LN APT B105",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913513016",
            "telephone_number": "818-401-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEOTOKOS ABA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "HABIB",
        "authorized_official_first_name": "MIRNA",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "818-401-6974"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

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