Provider Demographics
NPI:1912537036
Name:INFINITE MINDS ABA LLC
Entity type:Organization
Organization Name:INFINITE MINDS ABA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:DE PAIVA COELHO SOPHIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-644-0682
Mailing Address - Street 1:1191 E NEWPORT CENTER DR STE 103
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-7736
Mailing Address - Country:US
Mailing Address - Phone:954-644-0682
Mailing Address - Fax:754-333-4768
Practice Address - Street 1:1191 E NEWPORT CENTER DR STE 103
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-7736
Practice Address - Country:US
Practice Address - Phone:954-644-0682
Practice Address - Fax:754-333-4768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-16
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty