| Entity Name: | BLOSSOM ABA SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Mar 2024 (10 months ago) |
| Document Number: | L24000147247 |
| Address: | 17670 NW 78 AVENUE, SUITE # 212, HIALEAH, FL 33015 |
| Mail Address: | 17670 NW 78 AVENUE, SUITE # 212, HIALEAH, FL 33015 |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871348458 | 2024-04-18 | 2024-04-18 | 17670 NW 78TH AVE STE 212, HIALEAH, FL, 330153670, US | 17670 NW 78TH AVE STE 212, HIALEAH, FL, 330153670, US | |||||||||||||
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| Phone | +1 305-501-1438 |
Authorized person
| Name | PEDRO ANTONIO PEREZ |
| Role | PRESIDENT |
| Phone | 3055102283 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ, PEDRO A | Agent | 17670 NW 78TH AVE. STE # 212, HIALEAH, FL 33015 |
| Name | Role | Address |
|---|---|---|
| PEREZ, PEDRO A | Manager | 17670 NW 78TH AVE. STE # 212, HIALEAH, FL 33015 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-26 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
