Entity Name: | APPLIED BEHAVIOR APPROACHES OF TAMPA BAY INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 29 May 2012 (13 years ago) |
Document Number: | P12000049574 |
FEI/EIN Number | 45-5390185 |
Address: | 18946 NORTH DALE MABRY, LUTZ, FL, 33548, US |
Mail Address: | 1353 Lotus Path, CLEARWATER, FL, 33756, US |
ZIP code: | 33548 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1174884134 | 2012-06-06 | 2021-08-05 | 1353 LOTUS PATH, CLEARWATER, FL, 33756, US | 18946 NORTH DALE MABRY, LUTZ, FL, 33548, US | |||||||||||||||||||||||||||||
|
Phone | +1 727-241-0246 |
Fax | 7272404720 |
Authorized person
Name | ROBIN LANE DEHAINAUT |
Role | OWNER; BOARD CERTIFIED BEHAVIOR ANA |
Phone | 7272410246 |
Taxonomy
Taxonomy Code | 103K00000X - Behavior Analyst |
Is Primary | No |
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
License Number | 1-09-5814 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 017420700 |
State | FL |
Name | Role | Address |
---|---|---|
DeHainaut Robin L | Agent | 1353 Lotus Path, CLEARWATER, FL, 33756 |
Name | Role | Address |
---|---|---|
DEHAINAUT ROBIN L | Director | 1353 LOTUS PATH, CLEARWATER, FL, 33756 |
Name | Role | Address |
---|---|---|
DEHAINAUT ROBIN L | President | 1353 LOTUS PATH, CLEARWATER, FL, 33756 |
Name | Role | Address |
---|---|---|
DEHAINAUT ROBIN L | Secretary | 1353 LOTUS PATH, CLEARWATER, FL, 33756 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2021-08-05 | 18946 NORTH DALE MABRY, LUTZ, FL 33548 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2021-03-24 | 1353 Lotus Path, CLEARWATER, FL 33756 | No data |
CHANGE OF MAILING ADDRESS | 2020-09-03 | 18946 NORTH DALE MABRY, LUTZ, FL 33548 | No data |
REGISTERED AGENT NAME CHANGED | 2015-04-16 | DeHainaut, Robin Lane | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-20 |
ANNUAL REPORT | 2023-04-09 |
ANNUAL REPORT | 2022-04-01 |
ANNUAL REPORT | 2021-03-24 |
ANNUAL REPORT | 2020-03-31 |
ANNUAL REPORT | 2019-04-04 |
ANNUAL REPORT | 2018-02-22 |
ANNUAL REPORT | 2017-02-17 |
ANNUAL REPORT | 2016-04-08 |
ANNUAL REPORT | 2015-04-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State