Healthcare Provider Details

I. General information

NPI: 1104705490
Provider Name (Legal Business Name): INFINITE MINDS BEHAVIOR CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69930 HIGHWAY 111
RANCHO MIRAGE CA
92270-2850
US

IV. Provider business mailing address

69930 HIGHWAY 111 STE 201D
RANCHO MIRAGE CA
92270-2853
US

V. Phone/Fax

Practice location:
  • Phone: 310-880-8036
  • Fax:
Mailing address:
  • Phone: 310-880-8036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANA ARNAUTALIC
Title or Position: CEO
Credential: BCBA
Phone: 310-880-8036