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CRECER BEHAVIOR SUPPORT LLC

Company Details

Entity Name: CRECER BEHAVIOR SUPPORT LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 25 Sep 2023 (a year ago)
Document Number: L23000444667
FEI/EIN Number 93-3654799
Mail Address: 4307 W BIRD ST, TAMPA, FL 33614
Address: 13911 N Dale Mabry Hwy Suite 108, TAMPA, FL 33618
ZIP code: 33618
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043083637 2023-11-06 2023-11-27 4307 W BIRD ST, TAMPA, FL, 336142507, US 8270 WOODLAND CENTER BLVD, TAMPA, FL, 336142401, US

Contacts

Phone +1 305-497-5734

Authorized person

Name ILEANA DE CABO HERNANDEZ
Role BCBA
Phone 3054975734

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
DE CABO HERNANDEZ, ILEANA Agent 4307 W BIRD ST, TAMPA, FL 33614

Authorized Member

Name Role Address
DE CABO HERNANDEZ, ILEANA Authorized Member 4307 W BIRD ST, TAMPA, FL 33614

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-02-05 13911 N Dale Mabry Hwy Suite 108, TAMPA, FL 33618 No data
CHANGE OF PRINCIPAL ADDRESS 2023-11-27 8270 Woodland Center Blvd, TAMPA, FL 33614 No data

Documents

Name Date
ANNUAL REPORT 2024-03-09
Florida Limited Liability 2023-09-25

Date of last update: 09 Feb 2025

Sources: Florida Department of State