| Entity Name: | BUSY BEE ABA THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 May 2020 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 05 Jun 2023 (2 years ago) |
| Document Number: | L20000143108 |
| FEI/EIN Number | 85-1283062 |
| Address: | 250 CARILLON PKWY, ST PETERSBURG, FL, 33716, US |
| Mail Address: | 250 CARILLON PKWY, ST PETERSBURG, FL, 33716, US |
| ZIP code: | 33716 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073122230 | 2020-07-23 | 2024-10-09 | 250 CARILLON PKWY UNIT 211, ST PETERSBURG, FL, 337161376, US | 250 CARILLON PKWY UNIT 211, ST PETERSBURG, FL, 337161376, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 727-231-1194 |
Authorized person
| Name | CHRISTIAN W JURGENSEN |
| Role | OWNER |
| Phone | 7272311194 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Taxonomy Code | 106E00000X - Assistant Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 106S00000X - Behavior Technician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 107412000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHRISTIAN JURGENSEN | Agent | 250 CARILLON PARKWAY, ST. PETERSBURG, FL, 337161376 |
| Name | Role | Address |
|---|---|---|
| JURGENSEN CHRISTIAN | Authorized Member | 250 CARILLON PKWY, SAINT PETERSBURG, FL, 33716 |
| FRIEDMAN NOELLE | Authorized Member | 250 CARILLON PKWY, SAINT PETERSBURG, FL, 33716 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-12 | 250 CARILLON PKWY, UNIT 211, ST PETERSBURG, FL 33716 | No data |
| CHANGE OF MAILING ADDRESS | 2023-06-12 | 250 CARILLON PKWY, UNIT 211, ST PETERSBURG, FL 33716 | No data |
| LC AMENDMENT | 2023-06-05 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-05 | 250 CARILLON PARKWAY, UNIT 211, ST. PETERSBURG, FL 33716-1376 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-29 | CHRISTIAN, JURGENSEN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| LC Amendment | 2023-06-05 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-04-29 |
| Florida Limited Liability | 2020-05-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
