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BEHAVIORAL GROWTH CENTER ABA. LLC

Company Details

Entity Name: BEHAVIORAL GROWTH CENTER ABA. LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 23 Aug 2024 (6 months ago)
Document Number: L24000370683
FEI/EIN Number 99-4750120
Address: 123 TUSCARORA ST, LAKELAND, FL 33805
Mail Address: 123 TUSCARORA ST, LAKELAND, FL 33805
ZIP code: 33805
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326874850 2024-09-11 2024-09-11 123 TUSCARORA ST, LAKELAND, FL, 338052956, US 123 TUSCARORA ST, LAKELAND, FL, 338052956, US

Contacts

Phone +1 863-738-4919

Authorized person

Name ROXANA MARRERO
Role MANAGER
Phone 8637384919

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
MARRERO, ROXANA Agent 123 TUSCARORA ST, LAKELAND, FL 33805

Manager

Name Role Address
MARRERO, ROXANA Manager 123 TUSCARORA ST, LAKELAND, FL 33805

Documents

Name Date
ANNUAL REPORT 2025-01-28
Florida Limited Liability 2024-08-23

Date of last update: 07 Feb 2025

Sources: Florida Department of State