| Entity Name: | APPLIED BEHAVIOR SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 May 2003 (22 years ago) |
| Document Number: | L03000017647 |
| FEI/EIN Number | 02-0697158 |
| Mail Address: | 909 North Miami Beach Blvd, Suite #301, NORTH MIAMI BEACH, FL 33162 |
| Address: | 909 North Miami Beach Blvd, Suite #301, North Miami Beach, FL 33162 |
| ZIP code: | 33162 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487915948 | 2012-05-31 | 2012-05-31 | 2100 W 76TH ST, SUITE #405, HIALEAH, FL, 330165539, US | 2100 W 76TH ST, SUITE #405, HIALEAH, FL, 330165539, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-822-7202 |
| Fax | 3058227203 |
Authorized person
| Name | DR. JOSEPH L. BERG |
| Role | CLINICAL DIRECTOR |
| Phone | 3058227202 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | SW6104 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103K00000X - Behavior Analyst |
| License Number | 1-03-1183 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW6104 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID HOME COMMUNITY BASED WAIVER |
| Number | 685428196 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BERG, JOSEPH L | Agent | 909 North Miami Beach Blvd, Suite #301, North Miami Beach, FL 33162 |
| Name | Role | Address |
|---|---|---|
| BERG, JOSEPH L | Manager | 909 North Miami Beach Blvd, 301 NORTH MIAMI BCH, FL 33162 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2017-01-09 | 909 North Miami Beach Blvd, Suite #301, North Miami Beach, FL 33162 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-06 | 909 North Miami Beach Blvd, Suite #301, North Miami Beach, FL 33162 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-06 | 909 North Miami Beach Blvd, Suite #301, North Miami Beach, FL 33162 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-01-14 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-06 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
