Entity Name: | LET'S DO ABA LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 02 Dec 2021 (3 years ago) |
Document Number: | L21000511010 |
FEI/EIN Number | 87-3909408 |
Address: | 1401 SE GOLDTREE DR. STE 101, PORT ST LUCIE, FL, 34952, US |
Mail Address: | 1401 SE GOLDTREE DR. STE 101, PORT ST LUCIE, FL, 34952, US |
ZIP code: | 34952 |
County: | St. Lucie |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1548929086 | 2021-12-13 | 2023-05-01 | 1572 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 349525450, US | 1572 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 349525450, US | |||||||||||||||||||||
|
Phone | +1 772-212-7539 |
Fax | 7726738392 |
Authorized person
Name | MRS. JEISEL VAZQUEZ RODRIGUEZ |
Role | MEMBER |
Phone | 4077168652 |
Taxonomy
Taxonomy Code | 103K00000X - Behavior Analyst |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 1700309713 |
State | FL |
Name | Role | Address |
---|---|---|
RODRIGUEZ VICTORINA | Agent | 900 SW ABINGDON AVE, PORT ST LUCIE, FL, 34953 |
Name | Role | Address |
---|---|---|
TORRES DAINELYS M | Authorized Member | 1401 SE GOLDTREE DR. STE 101, PORT ST LUCIE, FL, 34952 |
VAZQUEZ RODRIGUEZ JEISEL C | Authorized Member | 1401 SE GOLDTREE DR. STE 101, PORT ST LUCIE, FL, 34952 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-02-03 | 1401 SE GOLDTREE DR. STE 101, PORT ST LUCIE, FL 34952 | No data |
CHANGE OF MAILING ADDRESS | 2024-02-03 | 1401 SE GOLDTREE DR. STE 101, PORT ST LUCIE, FL 34952 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-03 |
ANNUAL REPORT | 2023-01-31 |
ANNUAL REPORT | 2022-05-01 |
Florida Limited Liability | 2021-12-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State