| Entity Name: | MINDFUL ABA SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Feb 2020 (5 years ago) |
| Document Number: | L20000063808 |
| FEI/EIN Number | 86-2012220 |
| Address: | 3014 WEST LAWN AVENUE, TAMPA, FL, 33611, US |
| Mail Address: | 3014 WEST LAWN AVENUE, TAMPA, FL, 33611, US |
| ZIP code: | 33611 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164011482 | 2021-01-12 | 2021-01-12 | 3014 W LAWN AVE, TAMPA, FL, 336111649, US | 3014 W LAWN AVE, TAMPA, FL, 336111649, US | |||||||||||||||||||
|
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| Phone | +1 954-305-4201 |
Authorized person
| Name | CORAL MEIR |
| Role | BCBA |
| Phone | 9543054201 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 105592400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MEIR CORAL | Agent | 3014 WEST LAWN AVENUE, TAMPA, FL, 33611 |
| Name | Role | Address |
|---|---|---|
| MEIR CORAL | Manager | 3014 WEST LAWN AVENUE, TAMPA, FL, 33611 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-02-11 | 3014 WEST LAWN AVENUE, TAMPA, FL 33611 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-11 | 3014 WEST LAWN AVENUE, TAMPA, FL 33611 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-13 | 3014 WEST LAWN AVENUE, TAMPA, FL 33611 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-02-11 |
| Florida Limited Liability | 2020-02-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
