| Entity Name: | BLAZE ABA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Jul 2024 (6 months ago) |
| Document Number: | L24000334312 |
| Address: | 30192 ARMENIA, LEESBURG, FL, 34748, US |
| Mail Address: | 30192 ARMENIA, LEESBURG, FL, 34748, US |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932935079 | 2024-09-13 | 2024-09-13 | 30192 ARMENIA RD, LEESBURG, FL, 347488454, US | 30192 ARMENIA RD, LEESBURG, FL, 347488454, US | |||||||||||||
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| Phone | +1 239-465-8663 |
Authorized person
| Name | MR. DAWENN DORGILE |
| Role | OWNER/BCBA |
| Phone | 2394658663 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEOLUS ASNATH | Agent | 30236 ARMENIA RD, LEESBURG, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| DORGILE DAWENN | Manager | 30192 ARMENIA RD, LEESBURG, FL, 34748 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
