Detail by Officer/Registered Agent Name
Florida Not For Profit Corporation
THE SELECTIVE MUTISM ASSOCIATION INC.
Filing Information
N99000005206
65-0946164
08/27/1999
FL
ACTIVE
NAME CHANGE AMENDMENT
07/29/2016
NONE
Principal Address
Changed: 02/27/2023
421 Hillcrest Drive
c/o Lisa Kovac, Exec. Director
Oviedo, FL 32765
c/o Lisa Kovac, Exec. Director
Oviedo, FL 32765
Changed: 02/27/2023
Mailing Address
Changed: 02/27/2023
13750 W. Colonial Dr.
Suite 350 #213
Winter Garden, FL 34787-4204
Suite 350 #213
Winter Garden, FL 34787-4204
Changed: 02/27/2023
Registered Agent Name & Address
KOVAC, LISA
Name Changed: 03/08/2011
Address Changed: 03/08/2011
421 HILLCREST DR.
OVIEDO, FL 32765
OVIEDO, FL 32765
Name Changed: 03/08/2011
Address Changed: 03/08/2011
Officer/Director Detail
Name & Address
Title DIRECTOR
BUSMAN, RACHEL PsyD, ABPP
Title Treasurer
MARTIS ZAMBRISKI, PAMELA
Title EXECUTIVE DIR
KOVAC, LISA, Phd BCBA
Title Director
Furr, Jami, PhD
Title DIRECTOR
LAPTOOK, REBECCA, PhD
Title President
REED, KATELYN, MS, LLP
Title SECRETARY
Laracy, Emily, MA, MS, CCP-SLP
Title DIRECTOR OF MEMBERSHIP/SPECIAL INITIATIVES
LEOS, KRISTIN
Title DIRECTOR
Foster, Jenny
Title DIRECTOR
Bice-Urbach, Brittany, PhD
Title DIRECTOR
Ricker, Chelsea, M.S., BCBA
Title DIRECTOR
Herrera, Aileen, M.S., LMHC
Title DIRECTOR
HICKS-HOSTE, TAYLOR, PhD, LP, NCSP
Title DIRECTOR
Kohlmeier, Jonathan
Title PAST PRESIDENT
Merson, Rachel, PsyD
Title DIRECTOR
BOGGS, AUDREY, PSY.D
Title DIRECTOR
EZELL, ELEANOR, LCSW
Title DIRECTOR
UPADHYAY, RUPAL, MD FAAP
Title Director
Carlson, Megan
Title Director
YoungSmith, Christie
Title DIRECTOR
BUSMAN, RACHEL PsyD, ABPP
Cognitive & Behavioral Consultants
1 North Broadway
Suite 704
White Plains, NY 10601
1 North Broadway
Suite 704
White Plains, NY 10601
Title Treasurer
MARTIS ZAMBRISKI, PAMELA
116 Via Estrellita
Redondo Beach, CA 90277
Redondo Beach, CA 90277
Title EXECUTIVE DIR
KOVAC, LISA, Phd BCBA
421 Hillcrest Drive
Oviedo, FL 32765
Oviedo, FL 32765
Title Director
Furr, Jami, PhD
Floida International University
11200 SW 8th St.
AHC1 Rm. 140
Miami, FL 33199
11200 SW 8th St.
AHC1 Rm. 140
Miami, FL 33199
Title DIRECTOR
LAPTOOK, REBECCA, PhD
Rhode Island Hospital
593 Eddy St., Potter Basement
Providence, RI 02906
593 Eddy St., Potter Basement
Providence, RI 02906
Title President
REED, KATELYN, MS, LLP
350 North Main Street
Suite 220
Chelsea, MI 48118
Suite 220
Chelsea, MI 48118
Title SECRETARY
Laracy, Emily, MA, MS, CCP-SLP
204 Old Orchard Dr.
Easton, PA 18045
Easton, PA 18045
Title DIRECTOR OF MEMBERSHIP/SPECIAL INITIATIVES
LEOS, KRISTIN
175 N. Harbor Drive
Unit 4403
Chicago, IL 60601
Unit 4403
Chicago, IL 60601
Title DIRECTOR
Foster, Jenny
6652 E. Omega St.
Mesa, AZ 85215
Mesa, AZ 85215
Title DIRECTOR
Bice-Urbach, Brittany, PhD
13800 W. North Ave.
Ste. 120
Brookfield, WI 53005
Ste. 120
Brookfield, WI 53005
Title DIRECTOR
Ricker, Chelsea, M.S., BCBA
5 Meade Street
Nashua, NH 03064
Nashua, NH 03064
Title DIRECTOR
Herrera, Aileen, M.S., LMHC
Florida International University
11200 SW 8th St
AHC1 Rm. 136
Miami, FL 33199
11200 SW 8th St
AHC1 Rm. 136
Miami, FL 33199
Title DIRECTOR
HICKS-HOSTE, TAYLOR, PhD, LP, NCSP
31478 Industrial Road
Suite 300
Livonia, MI 48150
Suite 300
Livonia, MI 48150
Title DIRECTOR
Kohlmeier, Jonathan
98 Lake Shore Road
Greenwood Lake, NY 10925
Greenwood Lake, NY 10925
Title PAST PRESIDENT
Merson, Rachel, PsyD
BU Cntr for Anxiety & Related Disorders
900 Commonwealth Ave.
2nd Floor
Boston, MA 02215
900 Commonwealth Ave.
2nd Floor
Boston, MA 02215
Title DIRECTOR
BOGGS, AUDREY, PSY.D
5012 Chesebro Rd.
Suite 200
Agoura Hills, CA 91301
Suite 200
Agoura Hills, CA 91301
Title DIRECTOR
EZELL, ELEANOR, LCSW
Child & Family Therapy Collective
1015 Joseph Ave.
Nashville, TN 37207
1015 Joseph Ave.
Nashville, TN 37207
Title DIRECTOR
UPADHYAY, RUPAL, MD FAAP
Associates in Pediatrics
1015 Summit St.,
Elgin, IL 60120
1015 Summit St.,
Elgin, IL 60120
Title Director
Carlson, Megan
21519 Morning Dove Lane
Frankfort, IL 60423
Frankfort, IL 60423
Title Director
YoungSmith, Christie
1027 17th Ave.
Redwood City, CA 94063
Redwood City, CA 94063
Annual Reports
Report Year | Filed Date |
2022 | 04/05/2022 |
2023 | 02/27/2023 |
2024 | 02/07/2024 |
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