| Entity Name: | DEVELOPMENTAL APPLIED BEHAVIOR SOLUTIONS, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Jul 2017 (8 years ago) |
| Document Number: | P17000062058 |
| FEI/EIN Number | 822277782 |
| Address: | 7950 WEST FLAGLER STREET, 108, MIAMI, FL, 33144, US |
| Mail Address: | 7950 WEST FLAGLER STREET, 108, MIAMI, FL, 33144, US |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073031589 | 2017-09-05 | 2024-05-21 | 7950 W FLAGLER ST STE 108, MIAMI, FL, 331442206, US | 7950 W FLAGLER ST STE 108, MIAMI, FL, 331442206, US | |||||||||||||||||||||||||||
|
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| Phone | +1 305-661-5511 |
| Fax | 3057684600 |
| Phone | +1 305-263-9066 |
Authorized person
| Name | DR. INGRID ROMAN |
| Role | OWNER |
| Phone | 3056615511 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY8783 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022160300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROMAN INGRID | Agent | 7950 WEST FLAGLER STREET, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| ROMAN INGRID | Director | 7950 WEST FLAGLER STREET, MIAMI, FL, 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-12 | 7950 WEST FLAGLER STREET, 108, MIAMI, FL 33144 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-12 | 7950 WEST FLAGLER STREET, 108, MIAMI, FL 33144 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-12 | 7950 WEST FLAGLER STREET, 108, MIAMI, FL 33144 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-02-12 |
| ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2019-01-10 |
| ANNUAL REPORT | 2018-03-27 |
| Domestic Profit | 2017-07-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
