| Entity Name: | ORANGE BRANCH THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 May 2024 (9 months ago) |
| Document Number: | L24000229486 |
| Address: | 70 ELK GROVE LANE, SAINT JOHNS, FL, 32259, US |
| Mail Address: | 70 ELK GROVE LANE, SAINT JOHNS, FL, 32259, US |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063240992 | 2024-07-23 | 2024-07-23 | 70 ELK GROVE LN, SAINT JOHNS, FL, 322598730, US | 70 ELK GROVE LN, SAINT JOHNS, FL, 322598730, US | |||||||||||||||||||||
|
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| Phone | +1 904-701-2112 |
Authorized person
| Name | SARAH PISTNER |
| Role | PRESIDENT |
| Phone | 9047012112 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Taxonomy Code | 106E00000X - Assistant Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 106S00000X - Behavior Technician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PISTNER SARAH E | Agent | 70 ELK GROVE LANE, SAINT JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| PISTNER MATTHEW G | Manager | 70 ELK GROVE LANE, SAINT JOHNS, FL, 32259 |
| PISTNER SARAH E | Manager | 70 ELK GROVE LANE, SAINT JOHNS, FL, 32259 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-05-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
