| Mindhaven Holistic Aba LLC | |
|
8861 Williamson Dr Ste 40 Elk Grove CA 95624-1878 | |
| (404) 246-3292 | |
| Not Available |
| Full Name | Mindhaven Holistic Aba LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8861 Williamson Dr Ste 40, Elk Grove, California |
| Authorized Official Name and Position | Chinasaokwu Victoria Orji (OWNER / MANAGING MEMBER) |
| Authorized Official Contact | 4042463292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindhaven Holistic Aba LLC 8861 Williamson Dr Ste 40 Elk Grove CA 95624-1878 | Mindhaven Holistic Aba LLC 8861 Williamson Dr Ste 40 Elk Grove CA 95624-1878 Ph: (404) 246-3292 |
| NPI Number | 1003777533 |
|---|---|
| Provider Enumeration Date | 11/24/2025 |
| Last Update Date | 11/24/2025 |
| Certification Date | 11/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003777533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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