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MRS WANDA BEHAVIORAL CONSULTANT LLC

Company Details

Entity Name: MRS WANDA BEHAVIORAL CONSULTANT LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 May 2022 (3 years ago)
Document Number: L22000240148
FEI/EIN Number 88-2641666
Address: 178 Aberdeen Street, DAVENPORT, FL, 33896, US
Mail Address: 178 Aberdeen Street, DAVENPORT, FL, 33896, US
ZIP code: 33896
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912617424 2022-11-25 2022-11-25 1109 SANDY RIDGE DR, DAVENPORT, FL, 338963037, US 1109 SANDY RIDGE DR, DAVENPORT, FL, 338963037, US

Contacts

Phone +1 808-445-8260

Authorized person

Name WANDA SOTO
Role BEHAVIOR ANALYST
Phone 8084458260

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
SOTO WANDA Agent 1109 SANDY RIDGE DRIVE, DAVENPORT, FL, 33896

Manager

Name Role Address
SOTO WANDA Manager 1109 SANDY RIDGE DRIVE, DAVENPORT, FL, 33896

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-03 178 Aberdeen Street, DAVENPORT, FL 33896 No data
CHANGE OF MAILING ADDRESS 2024-02-03 178 Aberdeen Street, DAVENPORT, FL 33896 No data

Documents

Name Date
ANNUAL REPORT 2024-02-03
ANNUAL REPORT 2023-04-30
Florida Limited Liability 2022-05-23

Date of last update: 03 Feb 2025

Sources: Florida Department of State