| Entity Name: | EXCEPTIONAL BEHAVIOR CONSULTING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Jun 2012 (13 years ago) |
| Document Number: | L12000076323 |
| FEI/EIN Number | 45-5469800 |
| Address: | 1101 Belcher Rd., largo, FL, 33771, US |
| Mail Address: | 11454 127th Ave., largo, FL, 33778, US |
| ZIP code: | 33771 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851732796 | 2013-07-08 | 2024-11-05 | 11454 127TH AVE, LARGO, FL, 337781913, US | 1101 BELCHER RD S STE B, LARGO, FL, 337713356, US | |||||||||||||||||||||
|
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| Phone | +1 727-742-7872 |
| Fax | 8772719338 |
Authorized person
| Name | MS. LEIGH ANNE CHESTER |
| Role | DIRECTOR OF OPERATIONS |
| Phone | 7277427872 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018616500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Chester Leigh ABCBA | Agent | 11454 127th Ave., largo, FL, 33778 |
| Name | Role | Address |
|---|---|---|
| CHESTER LEIGH A | Clin | 11454 127th Ave., largo, FL, 33778 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000116846 | BEHAVIORAL FITNESS SOLUTIONS | EXPIRED | 2019-10-30 | 2024-12-31 | No data | 11454 127TH AVE., LARGO, FL, 33778 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-27 | 1101 Belcher Rd., Suite B, largo, FL 33771 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-30 | Chester, Leigh A, BCBA | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-07 | 1101 Belcher Rd., Suite B, largo, FL 33771 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-07 | 11454 127th Ave., largo, FL 33778 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-01-31 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-03-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
