| Entity Name: | FAMILY BEHAVIOR AND THERAPY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 23 Oct 2017 (7 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: | L17000218373 |
| FEI/EIN Number | 82-3178975 |
| Address: | 11 E 51ST PLACE, HIALEAH, FL 33013 |
| Mail Address: | 11 E 51ST PLACE, HIALEAH, FL 33013 |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083119101 | 2018-03-29 | 2018-06-16 | 11 E 51ST PL, HIALEAH, FL, 330131447, US | 11 E 51ST PL, HIALEAH, FL, 330131447, US | |||||||||||||||||||||||
|
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| Phone | +1 786-553-4365 |
Authorized person
| Name | NIUBIS GARCIA |
| Role | OWNER |
| Phone | 7865534365 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 697478 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARCIA UTRERA, NIUBIS | Agent | 11 E 51ST PLACE, HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| GARCIA UTRERA, NIUBIS | Manager | 11 E 51ST PLACE, HIALEAH, FL 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2017-10-23 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
