| Entity Name: | AUTISK LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Oct 2021 (3 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 24 Jan 2023 (2 years ago) |
| Document Number: | L21000468258 |
| FEI/EIN Number | 87-3349629 |
| Address: | 10150 HIGHLAND MANOR DR, STE 200, TAMPA, FL 33610 |
| Mail Address: | 10150 HIGHLAND MANOR DR, STE 200, TAMPA, FL 33610 |
| ZIP code: | 33610 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063178184 | 2021-11-12 | 2023-10-20 | 10150 HIGHLAND MANOR DR STE 200, TAMPA, FL, 336109712, US | 10150 HIGHLAND MANOR DR STE 200, TAMPA, FL, 336109712, US | |||||||||||||||||||
|
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| Phone | +1 813-344-2070 |
Authorized person
| Name | MRS. ALEJANDRO CHACARTEGUI LAGARES |
| Role | DIRECTOR OF OPERATIONS |
| Phone | 8133442070 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 117265600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHACARTEGUI LAGARES, ALEJANDRO | Agent | 10150 HIGHLAND MANOR DR, STE 200, TAMPA, FL 33610 |
| Name | Role | Address |
|---|---|---|
| CHACARTEGUI LAGARES, ALEJANDRO | Authorized Member | 10150 HIGHLAND MANOR DR, STE 200 TAMPA, FL 33610 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000152574 | AUTISK ABA THERAPY | ACTIVE | 2023-12-15 | 2028-12-31 | No data | 10150 HIGHLAND MANOR DR, SUITE 200, TAMPA, FL, 33610 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2023-01-24 | AUTISK LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-24 | 10150 HIGHLAND MANOR DR, STE 200, TAMPA, FL 33610 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-24 | 10150 HIGHLAND MANOR DR, STE 200, TAMPA, FL 33610 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-15 | 10150 HIGHLAND MANOR DR, STE 200, TAMPA, FL 33610 | No data |
| LC AMENDMENT | 2022-02-04 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-03-31 |
| LC Amendment and Name Change | 2023-01-24 |
| ANNUAL REPORT | 2022-02-15 |
| LC Amendment | 2022-02-04 |
| Florida Limited Liability | 2021-10-28 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
