| Entity Name: | I ROCK BEHAVIOR LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Feb 2017 (8 years ago) |
| Document Number: | L17000038539 |
| FEI/EIN Number | 81-5450897 |
| Address: | 2800 Weston Road, Weston, FL, 33331, US |
| Mail Address: | 18480 NW 19 STREET, PEMBROKE PINES, FL, 33029, US |
| ZIP code: | 33331 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225544604 | 2017-12-20 | 2017-12-20 | 18480 NW 19TH ST, PEMBROKE PINES, FL, 330293823, US | 18480 NW 19TH ST, PEMBROKE PINES, FL, 330293823, US | |||||||||||||||||||||
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| Phone | +1 786-376-5812 |
Authorized person
| Name | MRS. MALENA S MARTINEZ |
| Role | PRESIDENT |
| Phone | 7863765812 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 662050 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARTINEZ MALENA S | Agent | 18480 NW 19 Street, Pembroke Pines, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ MALENA S | Foun | 18480 NW 19 STREET, PEMBROKE PINES, FL, 33029 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000139852 | BEHAVIOR THERAPY OF WESTON | ACTIVE | 2023-11-15 | 2028-12-31 | No data | 18480 NW 19 STREET, PEMBROKE PINES, FL, 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-10 | 2800 Weston Road, Suite 100, Weston, FL 33331 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-24 | 18480 NW 19 Street, Pembroke Pines, FL 33029 | No data |
| CHANGE OF MAILING ADDRESS | 2017-05-26 | 2800 Weston Road, Suite 100, Weston, FL 33331 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-03-08 |
| ANNUAL REPORT | 2018-04-24 |
| Florida Limited Liability | 2017-02-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
