| Entity Name: | INFINITE GROWN ABA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Jun 2024 (8 months ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 20 Nov 2024 (3 months ago) |
| Document Number: | L24000282025 |
| Address: | 2500 NW 79 AVE, 202, DORAL, FL, 33122, US |
| Mail Address: | 2500 NW 79 AVE, 202, DORAL, FL, 33122, US |
| ZIP code: | 33122 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992542963 | 2024-07-09 | 2024-10-18 | 2500 NW 79TH AVE STE 202, DORAL, FL, 331221084, US | 2500 NW 79TH AVE STE 202, DORAL, FL, 331221084, US | |||||||||||||||||||
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| Phone | +1 305-924-8993 |
Authorized person
| Name | MARYABEL E MORALES |
| Role | CEO |
| Phone | 5616437643 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 123144000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MORALES MARYABEL | Agent | 2500 NW 79 AVE, DORAL, FL, 33122 |
| Name | Role | Address |
|---|---|---|
| MORALES MARYABEL E | Manager | 2500 NW 79 AVE STE 202, MIAMI, FL, 33122 |
| HERRERA MARISELA A | Manager | 2500 NW 79 AVE, DORAL, FL, 33122 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-11-20 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
