| Entity Name: | CHANGING TRENDS BEHAVIOR CONSULTING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 May 2017 (8 years ago) |
| Document Number: | L17000106653 |
| FEI/EIN Number | 82-1822562 |
| Address: | 870 Forester Avenue, ORLANDO, FL, 32809, US |
| Mail Address: | 870 Forester Ave, ORLANDO, FL, 32809, US |
| ZIP code: | 32809 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144735440 | 2017-12-08 | 2017-12-08 | 6228 SPANISH OAK DR, ORLANDO, FL, 328095877, US | 6228 SPANISH OAK DR, ORLANDO, FL, 328095877, US | |||||||||||||||||||
|
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| Phone | +1 407-577-4730 |
Authorized person
| Name | TAKEMA JAMES CARRION |
| Role | PRESIDENT/BEHAVIOR ANALYST |
| Phone | 4075774730 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 130-626-1565 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JAMES CARRION TAKEMA | Agent | 870 Forester Ave, ORLANDO, FL, 32809 |
| Name | Role | Address |
|---|---|---|
| James Carrion Takema | President | 870 Forester Avenue, ORLANDO, FL, 32809 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-25 | 870 Forester Avenue, ORLANDO, FL 32809 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-25 | 870 Forester Avenue, ORLANDO, FL 32809 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-25 | 870 Forester Ave, ORLANDO, FL 32809 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-04-14 |
| ANNUAL REPORT | 2019-03-31 |
| ANNUAL REPORT | 2018-04-29 |
| Florida Limited Liability | 2017-05-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
