| Entity Name: | HIGHER ASPIRATIONS BEHAVIOR SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Jun 2014 (11 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 22 Aug 2014 (10 years ago) |
| Document Number: | L14000096519 |
| FEI/EIN Number | 47-1115869 |
| Address: | 10722 STANDING STONE DR, WIMAUMA, FL, 33598, US |
| Mail Address: | 10722 STANDING STONE DR, Wimauma, FL, 33598, US |
| ZIP code: | 33598 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477900652 | 2016-05-18 | 2016-05-18 | PO BOX 1564, RIVERVIEW, FL, 335681564, US | 10722 STANDING STONE DR, WIMAUMA, FL, 335986163, US | |||||||||||||||||||
|
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| Phone | +1 813-610-5186 |
Authorized person
| Name | KRYSTAL A JACKMAN |
| Role | CEO |
| Phone | 8136105186 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID WAIVER |
| Number | 001289800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JACKMAN KRYSTAL | Agent | 10722 STANDING STONE DR, WIMAUMA, FL, 33598 |
| Name | Role | Address |
|---|---|---|
| Jackman Krystal | Chief Executive Officer | 10722 STANDING STONE DR, Wimauma, FL, 33598 |
| Name | Role | Address |
|---|---|---|
| Sanders Sequeoia S | Manager | 10722 STANDING STONE DR, WIMAUMA, FL, 33598 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-02-28 | 10722 STANDING STONE DR, WIMAUMA, FL 33598 | No data |
| LC AMENDMENT | 2014-08-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2022-03-04 |
| AMENDED ANNUAL REPORT | 2021-08-19 |
| AMENDED ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2021-02-23 |
| ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2019-02-28 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-01-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
