Provider Demographics
NPI:1912537036
Name:INFINITE MINDS ABA LLC
Entity Type:Organization
Organization Name:INFINITE MINDS ABA LLC
Other - Org Name:INFINITE MINDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:GASPAR CALAZANS RODRIGUES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-812-0030
Mailing Address - Street 1:6741 W SUNRISE BLVD STE 8
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33313-6029
Mailing Address - Country:US
Mailing Address - Phone:954-812-0030
Mailing Address - Fax:
Practice Address - Street 1:6741 W SUNRISE BLVD STE 8
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-6029
Practice Address - Country:US
Practice Address - Phone:954-812-0030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-16
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty