| Entity Name: | SANGER AND ASSOCIATES - BEHAVIORAL AND PSYCHOLOGICAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Jun 2014 (11 years ago) |
| Document Number: | L14000093414 |
| FEI/EIN Number | 47-1083267 |
| Address: | 150 Ave. B SE, WInter Haven, FL, 33880, US |
| Mail Address: | 150 Ave. B SE, WInter Haven, FL, 33880, US |
| ZIP code: | 33880 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013470483 | 2019-04-11 | 2019-04-11 | 2780 VERANDAH VUE WAY, LAKELAND, FL, 33812, US | 2780 VERANDAH VUE WAY, LAKELAND, FL, 33812, US | |||||||||||||||||||||||||
|
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| Phone | +1 863-944-0841 |
| Fax | 8635830480 |
Authorized person
| Name | KEVIN SANGER |
| Role | MANAGER/OWNER |
| Phone | 8639440841 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Taxonomy Code | 103TS0200X - School Psychologist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 019170500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SANGER KEVIN | Agent | 150 Ave. B SE, WInter Haven, FL, 33880 |
| Name | Role | Address |
|---|---|---|
| SANGER KEVIN | Manager | 150 Ave. B SE, WInter Haven, FL, 33880 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-16 | 150 Ave. B SE, WInter Haven, FL 33880 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-16 | 150 Ave. B SE, WInter Haven, FL 33880 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-16 | 150 Ave. B SE, WInter Haven, FL 33880 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-01-14 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-06 |
| ANNUAL REPORT | 2015-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
