Entity Name: | ABC INTERVENTION SERVICES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 28 Feb 2005 (20 years ago) |
Document Number: | P05000030069 |
FEI/EIN Number | 830421243 |
Address: | 2925 70th Pl, VERO BEACH, FL, 32967, US |
Mail Address: | 2925 70th Pl, VERO BEACH, FL, 32967, US |
ZIP code: | 32967 |
County: | Indian River |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1891764817 | 2006-03-14 | 2016-08-15 | 2925 70TH PL, VERO BEACH, FL, 329675755, US | 2925 70TH PL, VERO BEACH, FL, 329675755, US | |||||||||||||||||||||||||||||||
|
Phone | +1 772-473-3460 |
Fax | 7727705846 |
Authorized person
Name | DAWNE NOELKE D'ALBORA |
Role | PRESIDENT / BEHAVIOR ANALSYST |
Phone | 7724733460 |
Taxonomy
Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
License Number | 1-04-1898 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 689004196 |
State | FL |
Issuer | MEDICAID |
Number | 689004198 |
State | FL |
Name | Role | Address |
---|---|---|
Dalbora Dawne | Agent | 2925 70th Pl, VERO BEACH, FL, 32967 |
Name | Role | Address |
---|---|---|
Dalbora Dawne | President | 2925 70th Pl, VERO BEACH, FL, 32967 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2018-03-31 | Dalbora, Dawne | No data |
CHANGE OF PRINCIPAL ADDRESS | 2014-04-25 | 2925 70th Pl, VERO BEACH, FL 32967 | No data |
CHANGE OF MAILING ADDRESS | 2014-04-25 | 2925 70th Pl, VERO BEACH, FL 32967 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2014-04-25 | 2925 70th Pl, VERO BEACH, FL 32967 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-15 |
ANNUAL REPORT | 2023-05-04 |
ANNUAL REPORT | 2022-04-14 |
ANNUAL REPORT | 2021-04-21 |
ANNUAL REPORT | 2020-06-09 |
ANNUAL REPORT | 2019-04-02 |
ANNUAL REPORT | 2018-03-31 |
ANNUAL REPORT | 2017-04-28 |
ANNUAL REPORT | 2016-04-11 |
ANNUAL REPORT | 2015-03-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State