Entity Name: | ABA HEALING CENTER CORP |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 25 Aug 2021 (3 years ago) |
Last Event: | AMENDMENT |
Event Date Filed: | 07 Sep 2021 (3 years ago) |
Document Number: | P21000076065 |
FEI/EIN Number | 87-2359205 |
Address: | 5016 Moss Hammock Trl, Sebring, FL 33872 |
Mail Address: | 5016 Moss Hammock Trl, Sebring, FL 33872 |
ZIP code: | 33872 |
County: | Highlands |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1245992833 | 2021-10-11 | 2023-12-18 | 13820 LAKE CLAIRE CT, MIAMI LAKES, FL, 330143030, US | 13820 LAKE CLAIRE CT, MIAMI LAKES, FL, 330143030, US | |||||||||||||||||||
|
Phone | +1 786-810-3656 |
Authorized person
Name | MR. EDEY LADRON DE GUEVARA |
Role | BCBA |
Phone | 7868103656 |
Taxonomy
Taxonomy Code | 103K00000X - Behavior Analyst |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 1285189910 |
State | FL |
Name | Role | Address |
---|---|---|
LADRON DE GUEVARA, EDEY | Agent | 5016 Moss Hammock Trl, Sebring, FL 33872 |
Name | Role | Address |
---|---|---|
LADRON DE GUEVARA, EDEY | President | 5016 Moss Hammock Trl, Sebring, FL 33872 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-03-14 | 5016 Moss Hammock Trl, Sebring, FL 33872 | No data |
CHANGE OF MAILING ADDRESS | 2024-03-14 | 5016 Moss Hammock Trl, Sebring, FL 33872 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-03-14 | 5016 Moss Hammock Trl, Sebring, FL 33872 | No data |
AMENDMENT | 2021-09-07 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-14 |
ANNUAL REPORT | 2023-01-30 |
ANNUAL REPORT | 2022-04-28 |
Amendment | 2021-09-07 |
Domestic Profit | 2021-08-25 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State