| Entity Name: | NOBLE BEHAVIOR LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Aug 2018 (6 years ago) |
| Document Number: | L18000208596 |
| FEI/EIN Number | 831788967 |
| Address: | 280 S Wilson Ave, Bartow, FL, 33830, US |
| Mail Address: | 2215 E HELEN CIRCLE, BARTOW, FL, 33830, US |
| ZIP code: | 33830 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902371792 | 2018-10-08 | 2023-12-13 | 305 AVENUE K SE, WINTER HAVEN, FL, 338804124, US | 116 BATES AVE SW, WINTER HAVEN, FL, 338802953, US | |||||||||||||||||||||
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| Phone | +1 727-265-5394 |
| Fax | 8632594181 |
Authorized person
| Name | ITZEL ARTEAGA |
| Role | OWNER |
| Phone | 7272655394 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1811319759 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ARTEAGA ITZEL | Agent | 2215 E HELEN CIRCLE, BARTOW, FL, 33830 |
| Name | Role | Address |
|---|---|---|
| ARTEAGA ITZEL | Authorized Member | 2215 E HELEN CIRCLE, BARTOW, FL, 33830 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-07 | 280 S Wilson Ave, Bartow, FL 33830 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-01-02 |
| ANNUAL REPORT | 2019-02-05 |
| Florida Limited Liability | 2018-08-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
