| Entity Name: | AWANA BEHAVIORAL COMPANY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Jul 2022 (3 years ago) |
| Document Number: | P22000059573 |
| FEI/EIN Number | 88-3553179 |
| Address: | 525 NW 27TH AVE, MIAMI, FL, 33125-3043, UN |
| Mail Address: | 525 NW 27TH AVE, MIAMI, FL, 33125-3043, UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437886090 | 2022-08-03 | 2022-08-03 | 525 NW 27TH AVE, MIAMI, FL, 331253043, US | 525 NW 27TH AVE, MIAMI, FL, 331253043, US | |||||||||||||||||||||
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| Phone | +1 305-439-0263 |
| Fax | 7862883617 |
Authorized person
| Name | ROBERT JAMES KIDD |
| Role | PRESIDENT |
| Phone | 3054390263 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002500900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KIDD ROBERT J | Agent | 525 NW 27TH AVE, MIAMI, FL, 331253043 |
| Name | Role | Address |
|---|---|---|
| KIDD ROBERT J | President | 525 NW 27TH AVE, MIAMI, FL, 331253043 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-04-09 |
| Domestic Profit | 2022-07-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
