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DIANA MACCHIA, LLC

Company Details

Entity Name: DIANA MACCHIA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Dec 2018 (6 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 16 Jan 2019 (6 years ago)
Document Number: L18000292877
FEI/EIN Number 83-2953948
Address: 85 NE Elderberry Terrace, Jensen Beach, FL, 34957, US
Mail Address: 85 NE ELDERBERRY TERRACE, JENSEN BEACH, FL, 34957, US
ZIP code: 34957
County: Martin
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124583216 2019-02-04 2019-03-11 85 NE ELDERBERRY TER, JENSEN BEACH, FL, 349574655, US 85 NE ELDERBERRY TER, JENSEN BEACH, FL, 349574655, US

Contacts

Phone +1 914-494-0628

Authorized person

Name DIANA MACCHIA
Role OWNER
Phone 9144940628

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary No

Agent

Name Role Address
McGlynn John JIII Agent 729 SW Federal Hwy, Stuart, FL, 34994

Manager

Name Role Address
MACCHIA DIANA Manager 85 NE ELDERBERRY TERRACE, JENSEN BEACH, FL, 34957
Vendette Nicole Manager 3344 NE SANDRA DR, JENSEN BEACH, FL, 34957

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000136752 THE COLLABORATIVE BEHAVIOR GROUP EXPIRED 2019-12-27 2024-12-31 No data 821 SE OCEAN BLVD STE 2B, STUART, FL, 34994

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-08-06 85 NE Elderberry Terrace, Jensen Beach, FL 34957 No data
REGISTERED AGENT NAME CHANGED 2024-01-04 McGlynn, John J, III No data
REGISTERED AGENT ADDRESS CHANGED 2024-01-04 729 SW Federal Hwy, Suite 200, Stuart, FL 34994 No data
LC AMENDMENT 2019-01-16 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-14
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-05-01
LC Amendment 2019-01-16
Florida Limited Liability 2018-12-24

Date of last update: 02 Feb 2025

Sources: Florida Department of State