EMPOWERED ABA - 03-18-2019
Date:Mar 18, 2019 State of Washington Page: 1
Business Licensing Service
City Endorsement Information Report
Yelm General Business - Non-Resident
Status Reason:
In City Limits:NoEndorsement Status:Pending
Location Information
Business Structure: Limited Liability Company
UBI Number: 604413124-001-0001
Legal Entity Name: EMPOWERED: ABA THERAPY AND
Application ID:501373607
CONSULTATIVE SERVICES, LIMITED
LIABILITY COMPANY
Firm Name: EMPOWERED ABA
Application Date:Mar 8, 2019
Location Phone:(253) 304-3539
Fees:35.00
Location Fax:
Expiration Date: Mar 31, 2020
Email Address:JESIKA@EMPOWEREDABA.COM
Business Open Date:Apr 1, 2019
Location Address: 9307 N LAKE DR SW LAKEWOOD WA 98498-1135
Mail Address:9307 N LAKE DR SW LAKEWOOD WA 98498-1135
Product/Serv Description: BEHAVIOR ANALYTIC THERAPY, CONSULTATION AND TRAINING.
City Endorsement Information
Previous Business License:
Number of rental units:
Interior/Exterior Modifications: General Specialty Contractor #:
Square Footage: 0
Gross Income:$10,000.00
Number of full-time employees at this location:0
Number of part-time employees at this location:0
11833790
WA State professional/occupational license:BOARD CERTIFIED BEHAVIOR ANALYST
Conducting Business From Residence:Customers Visiting Premises?NoPer Week: 0
Business Activities:
Hazardous Materials:
Emergency Contact 1:
Emergency Contact 2:
Alarm Monitoring Service?NoCompany:
Contact:
Contact Phone:
Yelm General Business - Non-Resident604413124-001-0001
Date:Mar 18, 2019 State of Washington Page: 2
Business Licensing Service
City Endorsement Information Report
Previous Business Owner?NoName:
Firm name:
Phone:
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Unemployment InsuranceActive
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Approval Information
Zoning ___________________________________ Fire ___________________________________
Date Date
Building ___________________________________ Police ___________________________________
Date Date
Finance __________________________________ Planning __________________________________
Date Date
Comments:
Yelm General Business - Non-Resident604413124-001-0001