| Entity Name: | SKYROCKET BEHAVIORAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Apr 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 01 May 2023 (2 years ago) |
| Document Number: | L21000170684 |
| FEI/EIN Number | 86-3483169 |
| Address: | 7376 LAKE WORTH ROAD, LAKE WORTH, FL, 33467, US |
| Mail Address: | 7376 LAKE WORTH ROAD, LAKE WORTH, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396402335 | 2021-11-24 | 2024-10-18 | 7376 LAKE WORTH RD, LAKE WORTH, FL, 334672529, US | 7376 LAKE WORTH RD, LAKE WORTH, FL, 334672529, US | |||||||||||||||||||||
|
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| Phone | +1 561-788-4086 |
Authorized person
| Name | FABIANA GOMEZ |
| Role | OWNER |
| Phone | 5614756308 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 106E00000X - Assistant Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 106S00000X - Behavior Technician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOMEZ FABIANA D | Agent | 5779 RACEWAY ROAD, LAKE WORTH, FL, 33449 |
| Name | Role | Address |
|---|---|---|
| GOMEZ FABIANA | Manager | 5779 RACEWAY ROAD, LAKE WORTH, FL, 33449 |
| Name | Role | Address |
|---|---|---|
| MARTIN LAURA Y | Authorized Member | 252 MALIBU CIRCLE, GREENACRES, FL, 33413 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000053203 | SKYROCKET THERAPY SERVICES | ACTIVE | 2024-04-22 | 2029-12-31 | No data | 3066 S JOG RD, GREENACRES, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-18 | 7376 LAKE WORTH ROAD, LAKE WORTH, FL 33467 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-18 | 7376 LAKE WORTH ROAD, LAKE WORTH, FL 33467 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-10-18 | 5779 RACEWAY ROAD, UNIT A, LAKE WORTH, FL 33449 | No data |
| LC AMENDMENT | 2023-05-01 | No data | No data |
| LC AMENDMENT | 2022-08-29 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-18 |
| ANNUAL REPORT | 2024-01-18 |
| LC Amendment | 2023-05-01 |
| ANNUAL REPORT | 2023-03-08 |
| LC Amendment | 2022-08-29 |
| ANNUAL REPORT | 2022-03-25 |
| Florida Limited Liability | 2021-04-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
