| Entity Name: | FOREVER ABA THERAPY CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Dec 2022 (2 years ago) |
| Document Number: | P22000090928 |
| FEI/EIN Number | 92-1340143 |
| Address: | 15701 SW 139TH CT, MIAMI, FL 33177 |
| Mail Address: | 15701 SW 139TH CT, MIAMI, FL 33177 |
| ZIP code: | 33177 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801508585 | 2022-12-14 | 2022-12-14 | 15701 SW 139TH CT, MIAMI, FL, 331770904, US | 15701 SW 139TH CT, MIAMI, FL, 331770904, US | |||||||||||||||||||
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| Phone | +1 786-916-4181 |
Authorized person
| Name | LOURDES SARAY SILVEIRA CARRION |
| Role | PRESIDENT |
| Phone | 7869164181 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 03242000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FRANCHI ALFARO, LUIS | Agent | 15720 SW 139TH AVE, MIAMI, FL 33177 |
| Name | Role | Address |
|---|---|---|
| SILVEIRA CARRION, LOURDES S | Vice President | 15701 SW 139TH CT, MIAMI, FL 33177 |
| Name | Role | Address |
|---|---|---|
| FRANCHI ALFARO, LUIS | President | 15720 SW 139TH AVE, MIAMI, FL 33177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-20 | 15720 SW 139TH AVE, MIAMI, FL 33177 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-23 | FRANCHI ALFARO, LUIS | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-01-23 |
| Domestic Profit | 2022-12-07 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
