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SPECIALIZED ABA, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
SIEG SARAH E Agent 1725 MERCERS FERNERY RD., DELAND, FL, 32720

Authorized Person

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

Events

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

Documents

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