Entity Name: | SPECIALIZED ABA, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 11 Aug 2022 (2 years ago) |
Document Number: | L22000353661 |
FEI/EIN Number | 88-3714133 |
Address: | 247 W Voorhis Avenue, DELAND, FL, 32720, US |
Mail Address: | 247 W Voorhis Avenue, DELAND, FL, 32720, US |
ZIP code: | 32720 |
County: | Volusia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1891416137 | 2022-09-06 | 2024-08-22 | 247 W VOORHIS AVENUE, DELAND, FL, 327205432, US | 247 W VOORHIS AVENUE, DELAND, FL, 327205432, US | |||||||||||||||||||
|
Phone | +1 386-795-5695 |
Fax | 3867773850 |
Authorized person
Name | SARAH ELIZABETH SIEG |
Role | OWNER/LEAD BCBA |
Phone | 3868042557 |
Taxonomy
Taxonomy Code | 103K00000X - Behavior Analyst |
Is Primary | No |
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SIEG SARAH E | Agent | 1725 MERCERS FERNERY RD., DELAND, FL, 32720 |
Name | Role | Address |
---|---|---|
SIEG SARAH E | Authorized Person | 1725 MERCERS FERNERY RD., DELAND, FL, 32720 |
SIEG JAMES T | Authorized Person | 1725 MERCERS FERNERY RD., DELAND, FL, 32720 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-08-06 | 247 W Voorhis Avenue, DELAND, FL 32720 | No data |
CHANGE OF MAILING ADDRESS | 2024-08-06 | 247 W Voorhis Avenue, DELAND, FL 32720 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-10 |
ANNUAL REPORT | 2023-04-25 |
Florida Limited Liability | 2022-08-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State