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AMANDA SPARROW BEHAVIORAL SERVICES, LLC - Florida Company Profile

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Company Details

Entity Name: AMANDA SPARROW BEHAVIORAL SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Feb 2022 (4 years ago)
Document Number: L22000056899
FEI/EIN Number 88-0659059
Address: 198 Wilshire Blvd, Casselberry, FL, 32707, US
Mail Address: 198 Wilshire Blvd, Casselberry, FL, 32707, US
ZIP code: 32707
City: Casselberry
County: Seminole
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SPARROW AMANDA Authorized Member 7800 FERNBROOK WAY, WINTER PARK, FL, 32792
AMANDA SPARROW Agent 7800 FERNBROOK WAY, WINTER PARK, FL, 32792

National Provider Identifier

NPI Number:
1467107540
Certification Date:
2024-09-19

Authorized Person:

Name:
AMANDA SPARROW
Role:
BCBA
Phone:

Taxonomy:

Selected Taxonomy:
103K00000X - Behavior Analyst
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000064753 EMPOWER AUTISM SERVICES ACTIVE 2023-05-24 2028-12-31 - 198 WILSHIRE BLVD, CASSELBERRY, FL, 32707

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-09-21 198 Wilshire Blvd, Casselberry, FL 32707 -
CHANGE OF MAILING ADDRESS 2023-09-21 198 Wilshire Blvd, Casselberry, FL 32707 -

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-04-27
Florida Limited Liability 2022-02-02

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Date of last update: 03 Aug 2025

Sources: Florida Department of State