| Entity Name: | AMANDA SPARROW BEHAVIORAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Feb 2022 (3 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 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467107540 | 2022-02-16 | 2024-09-19 | 7800 FERNBROOK WAY, WINTER PARK, FL, 327929336, US | 198 WILSHIRE BLVD, CASSELBERRY, FL, 327075352, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 614-582-0696 |
| Phone | +1 407-504-8950 |
Authorized person
| Name | AMANDA SPARROW |
| Role | BCBA |
| Phone | 6145820696 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AMANDA SPARROW | Agent | 7800 FERNBROOK WAY, WINTER PARK, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| SPARROW AMANDA | Authorized Member | 7800 FERNBROOK WAY, WINTER PARK, FL, 32792 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000064753 | EMPOWER AUTISM SERVICES | ACTIVE | 2023-05-24 | 2028-12-31 | No data | 198 WILSHIRE BLVD, CASSELBERRY, FL, 32707 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-21 | 198 Wilshire Blvd, Casselberry, FL 32707 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-21 | 198 Wilshire Blvd, Casselberry, FL 32707 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-27 |
| Florida Limited Liability | 2022-02-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
