| Entity Name: | BAY HARBOR BEHAVIORAL ASSOCIATES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Jan 2005 (20 years ago) |
| Document Number: | P05000007860 |
| FEI/EIN Number | 13-4291978 |
| Address: | 930 SNELL ISLE BLVD NE, ST. PETERSBURG, FL, 33704 |
| Mail Address: | 930 SNELL ISLE BLVD NE, ST. PETERSBURG, FL, 33704 |
| ZIP code: | 33704 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770891715 | 2010-09-23 | 2011-09-22 | 930 SNELL ISLE BLVD NE, SAINT PETERSBURG, FL, 337043830, US | 930 SNELL ISLE BLVD NE, SAINT PETERSBURG, FL, 337043830, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-743-3483 |
| Fax | 7278967272 |
Authorized person
| Name | MS. SARA GEDAJLOVIC |
| Role | CEO |
| Phone | 7277433483 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH 3061 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 103K00000X - Behavior Analyst |
| License Number | MH 3061 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 761456096 |
| State | FL |
| Issuer | MEDICAID |
| Number | 761456098 |
| State | FL |
| Issuer | MEDICAID |
| Number | 761456000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GEDAJLOVIC SARA L | Agent | 930 SNELL ISLE BLVD NE, ST. PETERSBURG, FL, 33704 |
| Name | Role | Address |
|---|---|---|
| GEDAJLOVIC SARA L | President | 930 SNELL ISLE BLVD NE, ST. PETERSBURG, FL, 33704 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-01-17 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
