| Entity Name: | SPACE COAST BEHAVIOR ANALYSIS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Aug 2021 (3 years ago) |
| Document Number: | L21000368482 |
| FEI/EIN Number | 92-0738303 |
| Address: | 915 LYTTON ROAD, MELBOURNE, FL, 32934, UN |
| Mail Address: | 915 LYTTON RD, MELBOURNE, FL, 32934, UN |
| ZIP code: | 32934 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750007886 | 2022-10-19 | 2023-03-13 | 915 LYTTON RD, MELBOURNE, FL, 329349015, US | 2226 SARNO RD STE 100, MELBOURNE, FL, 329353087, US | |||||||||||||
|
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| Phone | +1 321-313-4804 |
Authorized person
| Name | TINA SMITH |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3213134804 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SMITH TINA | Agent | 915 LYTTON RD, MELBOURNE, FL, 32934 |
| Name | Role | Address |
|---|---|---|
| SMITH TINA | Manager | 915 LYTTON ROAD, MELBOURNE, FL, 32934 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-04-18 |
| Florida Limited Liability | 2021-08-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
