| Entity Name: | FLORIDA AUTISM BEHAVIOR LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Mar 2024 (a year ago) |
| Document Number: | L24000112137 |
| Address: | 7402 N 56TH ST, STE 355 # 1158, TAMPA, FL 33617 |
| Mail Address: | 7402 N 56TH ST, STE 355 # 1158, TAMPA, FL 33617 |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134971336 | 2024-04-02 | 2024-04-02 | 11888 JENNIFER ST, FRANKFORT, IL, 604238028, US | 7402 N 56TH ST, TAMPA, FL, 336177733, US | |||||||||||||
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| Phone | +1 708-378-4550 |
Authorized person
| Name | MRS. GADA KHALIL |
| Role | MANAGER |
| Phone | 7083784550 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KHALIL, GADA | Agent | 7402 N 56TH ST, STE 355 # 1158, TAMPA, FL 33617 |
| Name | Role | Address |
|---|---|---|
| KHALIL, GADA | Authorized Member | 7402 N 56TH ST, STE 355 # 1158 TAMPA, FL 33617 |
| KASSAR, SHADEN | Authorized Member | 7402 N 56TH ST, STE 355 # 1158 TAMPA, FL 33617 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-05 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
