| Entity Name: | FUNDAMENTAL ABA THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Jan 2020 (5 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 03 Aug 2020 (4 years ago) |
| Document Number: | L20000034457 |
| FEI/EIN Number | 84-5012086 |
| Mail Address: | 5529 NW 90 AVENUE, SUNRISE, FL 33351 |
| Address: | 8053 West Oakland Park Blvd, Unit 950, Sunrise, FL 33351 |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609463298 | 2020-12-29 | 2022-11-28 | 5529 NW 90TH AVE, SUNRISE, FL, 333517776, US | 8053 W OAKLAND PARK BLVD STE 950, SUNRISE, FL, 333511162, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 754-422-2165 |
Authorized person
| Name | NICOLE PHILLIPS |
| Role | MANAGER |
| Phone | 7544222165 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PHILLIPS, NICOLE | Agent | 5529 NW 90 AVENUE, SUNRISE, FL 33351 |
| Name | Role | Address |
|---|---|---|
| PHILLIPS, NICOLE E | Manager | 5529 NW 90 AVENUE, SUNRISE, FL 33351 |
| Name | Role | Address |
|---|---|---|
| BUTCHER, DARREN | Authorized Member | 5529 NW 90 AVENUE, SUNRISE, FL 33351 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000066062 | FUNDAMENTAL CAFE | ACTIVE | 2022-05-27 | 2027-12-31 | No data | 8053 WEST OAKLAND PARK BLVD, UNIT 950, SUNRISE, FL, 33351 |
| G22000060806 | FUNDAMENTAL LEARNING CENTER LLC | ACTIVE | 2022-05-15 | 2027-12-31 | No data | 8053 WEST OAKLAND PARK BLVD, SUITE 950, SUNRISE, FL, 33351 |
| G22000027262 | ABA STUDY JAMS | ACTIVE | 2022-02-21 | 2027-12-31 | No data | 8053 WEST OAKLAND PARK BLVD, UNIT 950, SUNRISE, FL, 33351 |
| G20000040553 | ADVANCED NURSE REGISTRY | ACTIVE | 2020-04-12 | 2025-12-31 | No data | 5529 NW 90 AVENUE, SUNRISE, SUNRISE, FL, 33351 |
| G20000034599 | ANGEL CARE SITTER AND COMPANION | ACTIVE | 2020-03-22 | 2025-12-31 | No data | 5529 NW 90 AVENUE, SUNRISE, SUNRISE, FL, 33351 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-13 | 8053 West Oakland Park Blvd, Unit 950, Sunrise, FL 33351 | No data |
| LC AMENDMENT AND NAME CHANGE | 2020-08-03 | FUNDAMENTAL ABA THERAPY, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-02-27 |
| ANNUAL REPORT | 2021-03-13 |
| LC Amendment and Name Change | 2020-08-03 |
| Florida Limited Liability | 2020-01-28 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
