| Entity Name: | LIFESPAN BEHAVIOR SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Sep 2016 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 26 Mar 2018 (7 years ago) |
| Document Number: | L16000164228 |
| FEI/EIN Number | 813839900 |
| Address: | 4611 SE 100TH PLACE, BELLEVIEW, FL, 34420, US |
| Mail Address: | 4611 SE 100TH PLACE, BELLEVIEW, FL, 34420, US |
| ZIP code: | 34420 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487102323 | 2016-09-21 | 2024-01-17 | 4611 SE 100TH PL, BELLEVIEW, FL, 344203013, US | 10252 SE US HIGHWAY 441, UNITS 3 & 4, BELLEVIEW, FL, 344206819, US | |||||||||||||||||
|
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| Phone | +1 352-559-2539 |
| Fax | 3525475787 |
| Phone | +1 352-233-7465 |
Authorized person
| Name | ANDREA TOBON |
| Role | MANAGER/SUPERVISING BEHAVIOR ANALYS |
| Phone | 3522337465 |
Taxonomy
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RANKIN ANGELLE N | Agent | 4611 SE 100TH PLACE, BELLEVIEW, FL, 34420 |
| Name | Role | Address |
|---|---|---|
| RANKIN ANGELLE N | Manager | 3216 SE 23RD AVENUE, OCALA, FL, 34471 |
| TOBON ANDREA | Manager | 2475 SE HIGHWAY 484, BELLEVIEW, FL, 34420 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-05 | RANKIN, ANGELLE N | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-07 | 4611 SE 100TH PLACE, BELLEVIEW, FL 34420 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-08-19 | 4611 SE 100TH PLACE, BELLEVIEW, FL 34420 | No data |
| CHANGE OF MAILING ADDRESS | 2022-08-19 | 4611 SE 100TH PLACE, BELLEVIEW, FL 34420 | No data |
| LC AMENDMENT | 2018-03-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-31 |
| ANNUAL REPORT | 2019-02-12 |
| LC Amendment | 2018-03-26 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-08-07 |
| Florida Limited Liability | 2016-09-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
