| Entity Name: | YAKETY YAK SPEECH-LANGUAGE PATHOLOGISTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 May 2007 (18 years ago) |
| Document Number: | P07000056628 |
| FEI/EIN Number | 260468908 |
| Address: | 1107 MABBETTE ST., KISSIMMEE, FL, 34741, US |
| Mail Address: | 1107 MABBETTE ST., KISSIMMEE, FL, 34741, US |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376867465 | 2010-03-18 | 2016-10-17 | 1107 MABBETTE ST, KISSIMMEE, FL, 347415161, US | 1107 MABBETTE ST, KISSIMMEE, FL, 347415161, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-201-8079 |
| Fax | 4073439180 |
Authorized person
| Name | MS. JENNIFER AUTENRIETH |
| Role | SPEECH PATHOLOGIST, PRESIDENT |
| Phone | 4072018079 |
Taxonomy
| Taxonomy Code | 224Z00000X - Occupational Therapy Assistant |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2355S0801X - Speech-Language Assistant |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 890635100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AUTENRIETH JENNIFER L | Agent | 1107 MABBETTE STREET, KISSIMMEE, FL, 34741 |
| Name | Role | Address |
|---|---|---|
| AUTENRIETH JENNIFER L | President | 1107 MABBETTE STREET, KISSIMMEE, FL, 34741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-25 | 1107 MABBETTE STREET, KISSIMMEE, FL 34741 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-07-26 | 1107 MABBETTE ST., KISSIMMEE, FL 34741 | No data |
| CHANGE OF MAILING ADDRESS | 2011-07-26 | 1107 MABBETTE ST., KISSIMMEE, FL 34741 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000499393 | TERMINATED | 1000000448025 | OSCEOLA | 2013-02-01 | 2023-02-27 | $ 680.48 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-10 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-04-27 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-05-01 |
| ANNUAL REPORT | 2015-04-27 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8570668510 | 2021-03-10 | 0455 | PPS | 1107 Mabbette St, Kissimmee, FL, 34741-5161 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Feb 2025
Sources: Florida Department of State
