| Entity Name: | FAMILICARE BEHAVIORAL ANALYSIS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Dec 2021 (3 years ago) |
| Document Number: | L22000007424 |
| FEI/EIN Number | 84-4368576 |
| Address: | 1123 WALT WILLIAMS RD LOT 27, # 27, LAKELAND, FL 33809 |
| Mail Address: | 1123 WALT WILLIAMS RD LOT 27, # 27, LAKELAND, FL 33809 |
| ZIP code: | 33809 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578300828 | 2024-07-12 | 2024-07-12 | 236 BARRINGTON DR, HAINES CITY, FL, 338447607, US | 236 BARRINGTON DR, HAINES CITY, FL, 338447607, US | |||||||||||||
|
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| Phone | +1 863-288-4693 |
Authorized person
| Name | JOSE E RIVERA |
| Role | OWNER/BCBA |
| Phone | 8632884693 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MY COMPANY SERVICES CORP | Agent |
| Name | Role | Address |
|---|---|---|
| RIVERA, JOSE | Authorized Member | 1123 WALT WILLIAMS RD LOT 27, LAKELAND, FL 33809 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-01 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-29 |
| Florida Limited Liability | 2021-12-29 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
