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OWL BEHAVIOR ANALYSIS PRACTICE,LLC

Company Details

Entity Name: OWL BEHAVIOR ANALYSIS PRACTICE,LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Jun 2017 (8 years ago)
Document Number: L17000138899
FEI/EIN Number 82-2009068
Address: 18245 PAULSON DRIVE SUITE 104, Suite 104, PORT CHARLOTTE, FL, 33954, US
Mail Address: 3536 TULOMA TER., NORTH PORT, FL, 34286, US
ZIP code: 33954
County: Charlotte
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093310393 2020-12-03 2024-08-21 18245 PAULSON DR., SUITE 104, PORT CHARLOTTE, FL, 339541019, US 18245 PAULSON DR., SUITE 104, PORT CHARLOTTE, FL, 339541019, US

Contacts

Phone +1 813-528-7048
Fax 8556102343

Authorized person

Name MRS. JACQUELINE ESTRADA LOPEZ
Role PRESIDENT
Phone 8135287048

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
ESTRADA LOPEZ JACQUELINE Agent 3536 TULOMA TER., NORTH PORT, FL, 34286

Manager

Name Role Address
ESTRADA LOPEZ JACQUELINE Manager 3536 TULOMA TER., NORTH PORT, FL, 34286

Authorized Member

Name Role Address
ESPINOSA BENCOMO JUAN M Authorized Member 3536 TULOMA TER., NORTH PORT, FL, 34286

Auth

Name Role Address
Valdovinos Estrada Ernesto Auth 3137 Cascabel Ter., North Port, FL, 34286

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-04 18245 PAULSON DRIVE SUITE 104, Suite 104, PORT CHARLOTTE, FL 33954 No data
CHANGE OF MAILING ADDRESS 2023-01-04 18245 PAULSON DRIVE SUITE 104, Suite 104, PORT CHARLOTTE, FL 33954 No data

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-04
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-03-20
ANNUAL REPORT 2019-02-16
ANNUAL REPORT 2018-03-05
Florida Limited Liability 2017-06-27

Date of last update: 03 Feb 2025

Sources: Florida Department of State