| Entity Name: | ABA APPLIED BEHAVIOR SOLUTIONS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Dec 2021 (3 years ago) |
| Document Number: | L21000511821 |
| FEI/EIN Number | 87-3927048 |
| Address: | 1500 Colonial BLVD, suite 102, Fort Myers, FL 33907 |
| Mail Address: | 1500 Colonial BLVD, suite 102, Fort Myers, FL 33907 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871253138 | 2021-12-28 | 2024-06-23 | 1500 COLONIAL BLVD STE 102, FORT MYERS, FL, 339071025, US | 1500 COLONIAL BLVD STE 102, FORT MYERS, FL, 339071025, US | |||||||||||||||||||||||
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| Phone | +1 786-420-8999 |
| Fax | 2392940903 |
| Phone | +1 239-294-0901 |
Authorized person
| Name | ESTELA D RODRIGUEZ CASTRO |
| Role | CEO |
| Phone | 7864208999 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 112928200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ CASTRO, ESTELA D | Agent | 1500 Colonial BLVD, suite 102, Fort Myers, FL 33907 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ CASTRO, ESTELA D | Authorized Member | 1500 Colonial BLVD, suite 102 Fort Myers, FL 33907 |
| OROZCO HERNANDEZ, MAYLIN | Authorized Member | 2118 KISMET PKWY E, CAPE CORAL, FL 33909 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-02-17 | 1500 Colonial BLVD, suite 102, Fort Myers, FL 33907 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-17 | 1500 Colonial BLVD, suite 102, Fort Myers, FL 33907 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-28 | 1500 Colonial BLVD, suite 102, Fort Myers, FL 33907 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-02-17 |
| AMENDED ANNUAL REPORT | 2022-06-22 |
| AMENDED ANNUAL REPORT | 2022-05-24 |
| ANNUAL REPORT | 2022-02-10 |
| Florida Limited Liability | 2021-12-02 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
