Organization Active NPI

Everbloom ABA Services LLC

  • Behavior Analyst
  • Elk Grove, CA
National Provider Identifier
1902766611
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EVERBLOOM ABA SERVICES LLC
Practice address
8861 Williamson Dr Ste 40
Elk Grove, CA 95624-1878
Phone
(916) 414-9210
NPI assigned
Nov 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Chinwe AsidanyaNPI 1265263719
Title
Owner
Phone
(916) 414-9210

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

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

Mailing address

7501 Hospital Dr Ste 360
Sacramento, CA 95823-5405
Phone (916) 414-9210

National Provider Directory

National Provider Directory

Locations

8861 Williamson Dr
Ste 40
Elk Grove, CA 95624
Phone (916) 414-9210

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": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1902766611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 HOSPITAL DR STE 360",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235405",
            "telephone_number": "916-414-9210"
        },
        {
            "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": "916-414-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERBLOOM ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "ASIDANYA",
        "authorized_official_first_name": "CHINWE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-414-9210"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.