| Entity Name: | DIVINO ABA SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Oct 2016 (8 years ago) |
| Document Number: | L16000187015 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 9405 BARNSTEAD LANE, PORT RICHEY, FL, 34668 |
| Mail Address: | 9405 BARNSTEAD LANE, PORT RICHEY, FL, 34668 |
| ZIP code: | 34668 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124510227 | 2018-06-04 | 2018-06-04 | 9405 BARNSTEAD LN, PORT RICHEY, FL, 346684302, US | 9405 BARNSTEAD LN, PORT RICHEY, FL, 346684302, US | |||||||||||||||||||||||
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| Phone | +1 727-967-2809 |
Authorized person
| Name | BARBARA DIVINO |
| Role | PRESIDENT |
| Phone | 7279672809 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| License Number | L16000187015 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1811347248 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DIVINO BARBARA | Agent | 9405 BARNSTEAD LANE, PORT RICHEY, FL, 34668 |
| Name | Role | Address |
|---|---|---|
| DIVINO BARBARA | Manager | 9405 BARNSTEAD LANE, PORT RICHEY, FL, 34668 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000079911 | DIVINO TUTORING SERVICES | ACTIVE | 2023-07-06 | 2028-12-31 | No data | 9405 BARNSTEAD LANE, PORT RICHEY, FL, 34668 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-05-07 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-07-20 |
| Florida Limited Liability | 2016-10-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
