| Entity Name: | SPEECH, LANGUAGE, AND BEHAVIOR, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 11 Feb 2015 (10 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L15000025601 |
| FEI/EIN Number | 47-3169652 |
| Address: | 627 SPRING OAKS BLVD, ALTAMONTE SPRINGS, FL 32714 |
| Mail Address: | 627 SPRING OAKS BLVD, ALTAMONTE SPRINGS, FL 32714 |
| ZIP code: | 32714 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528428869 | 2016-02-29 | 2016-02-29 | 627 SPRING OAKS BLVD, ALTAMONTE SPRINGS, FL, 327147311, US | 627 SPRING OAKS BLVD, ALTAMONTE SPRINGS, FL, 327147311, US | |||||||||||||||||||||||||||
|
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| Phone | +1 407-280-3128 |
Authorized person
| Name | REBECCA WING KLEIMAN |
| Role | OWNER |
| Phone | 4072803128 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA7214 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014278700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KLEIMAN, REBECCA W | Agent | 627 SPRING OAKS BLVD, ALTAMONTE SPRINGS, FL 32714 |
| Name | Role | Address |
|---|---|---|
| KLEIMAN, REBECCA W | Manager | 627 SPRING OAKS BLVD, ALTAMONTE SPRINGS, FL 32714 |
| Name | Role | Address |
|---|---|---|
| JOHN, KLEIMAN | Authorized Representative | 627 SPRING OAKS BLVD, ALTAMONTE SPRINGS, FL 32714 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-14 | 627 SPRING OAKS BLVD, ALTAMONTE SPRINGS, FL 32714 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-14 | 627 SPRING OAKS BLVD, ALTAMONTE SPRINGS, FL 32714 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-14 | 627 SPRING OAKS BLVD, ALTAMONTE SPRINGS, FL 32714 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-02-11 |
| ANNUAL REPORT | 2016-04-14 |
| Florida Limited Liability | 2015-02-11 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
