| Entity Name: | CANOPY BEHAVIOR SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Aug 2016 (9 years ago) |
| Document Number: | L16000144910 |
| FEI/EIN Number | 81-3504663 |
| Address: | 539 FANNY ANN WAY, FREEPORT, FL, 32439 |
| Mail Address: | 539 FANNY ANN WAY, FREEPORT, FL, 32439 |
| ZIP code: | 32439 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720533268 | 2016-08-24 | 2016-08-24 | 539 FANNY ANN WAY, FREEPORT, FL, 324397613, US | 539 FANNY ANN WAY, FREEPORT, FL, 324397613, US | |||||||||||||||||
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| Phone | +1 850-865-7109 |
Authorized person
| Name | MEGAN DAILEY |
| Role | BCBA |
| Phone | 8508657109 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| License Number | 1-08-4312 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CANOPY BEHAVIOR SOLUTIONS 401(K) | 2023 | 813504663 | 2024-07-03 | CANOPY BEHAVIOR SOLUTIONS LLC | 12 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-03 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DAILEY MEGAN | Agent | 539 FANNY ANN WAY, FREEPORT, FL, 32439 |
| Name | Role | Address |
|---|---|---|
| DAILEY MEGAN D | Authorized Representative | 539 FANNY ANN WAY, FREEPORT, FL, 32439 |
| HICKS MISTY B | Authorized Representative | 1427 HWY 90, PONCE DE LEON, FL, 32455 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-03-24 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-03-12 |
| ANNUAL REPORT | 2018-02-15 |
| ANNUAL REPORT | 2017-09-07 |
| Florida Limited Liability | 2016-08-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
