Entity Name: | SIDE BY SIDE BEHAVIORAL HEALTH LLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
SIDE BY SIDE BEHAVIORAL HEALTH LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
Date Filed: | 05 Nov 2018 (6 years ago) |
Last Event: | LC DISSOCIATION MEM |
Event Date Filed: | 24 Oct 2024 (6 months ago) |
Document Number: | L18000258562 |
FEI/EIN Number |
83-2453905
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 2151 Consulate Dr, Suite 11, ORLANDO, FL, 32837, US |
Mail Address: | 2151 Consulate Dr, Suite 11, ORLANDO, FL, 32837, US |
ZIP code: | 32837 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1194392514 | 2021-06-04 | 2021-06-04 | 2151 CONSULATE DR STE 11, ORLANDO, FL, 328378806, US | 2151 CONSULATE DR STE 11, ORLANDO, FL, 328378806, US | |||||||||||||||||||||||||||||
|
Phone | +1 321-444-9527 |
Fax | 4076419591 |
Authorized person
Name | PAULA NUNEZ GALETTO |
Role | BCBA |
Phone | 3214449527 |
Taxonomy
Taxonomy Code | 103K00000X - Behavior Analyst |
Is Primary | Yes |
Taxonomy Code | 106E00000X - Assistant Behavior Analyst |
Is Primary | No |
Taxonomy Code | 106S00000X - Behavior Technician |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 102758800 |
State | FL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SIDE BY SIDE BEHAVIORAL HEALTH LLC 401(K) PLAN | 2023 | 832453905 | 2024-05-14 | SIDE BY SIDE BEHAVIORAL HEALTH LLC | 22 | |||||||||||||||||||||||||||||||
|
Administrator’s EIN | 474474775 |
Plan administrator’s name | GUIDELINE, INC. |
Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number | 8882283491 |
Signature of
Role | Plan administrator |
Date | 2024-05-14 |
Name of individual signing | QIAN LIU |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2020-01-01 |
Business code | 624100 |
Sponsor’s telephone number | 7863623926 |
Plan sponsor’s address | 4094 FLORALWOOD CT, ORLANDO, FL, 32812 |
Plan administrator’s name and address
Administrator’s EIN | 474474775 |
Plan administrator’s name | GUIDELINE, INC. |
Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number | 8882283491 |
Signature of
Role | Plan administrator |
Date | 2023-05-27 |
Name of individual signing | CHRISTINE RIMER |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2020-01-01 |
Business code | 624100 |
Sponsor’s telephone number | 7863623926 |
Plan sponsor’s address | 4094 FLORALWOOD CT, ORLANDO, FL, 32812 |
Plan administrator’s name and address
Administrator’s EIN | 474474775 |
Plan administrator’s name | GUIDELINE, INC. |
Plan administrator’s address | 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
Administrator’s telephone number | 8882283491 |
Signature of
Role | Plan administrator |
Date | 2022-06-01 |
Name of individual signing | CHRISTINE RIMER |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2020-01-01 |
Business code | 624100 |
Sponsor’s telephone number | 7863623926 |
Plan sponsor’s address | 4094 FLORALWOOD CT, ORLANDO, FL, 32812 |
Plan administrator’s name and address
Administrator’s EIN | 474474775 |
Plan administrator’s name | GUIDELINE, INC. |
Plan administrator’s address | 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
Administrator’s telephone number | 8882283491 |
Signature of
Role | Plan administrator |
Date | 2021-06-16 |
Name of individual signing | CAROL HO |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
FACHADO INGRID | Manager | 4094 FLORALWOOD CT, ORLANDO, FL, 32812 |
FISCHER EFREN | Manager | 4094 FLORALWOOD CT, ORLANDO, FL, 32812 |
FISCHER EFREN | Agent | 2151 Consulate Dr, Suite 11, ORLANDO, FL, 32837 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC DISSOCIATION MEM | 2024-10-24 | - | - |
LC AMENDMENT | 2024-10-23 | - | - |
CHANGE OF PRINCIPAL ADDRESS | 2024-10-17 | 2151 Consulate Dr, Suite 11, ORLANDO, FL 32837 | - |
CHANGE OF MAILING ADDRESS | 2024-10-17 | 2151 Consulate Dr, Suite 11, ORLANDO, FL 32837 | - |
REGISTERED AGENT ADDRESS CHANGED | 2022-03-14 | 2151 Consulate Dr, Suite 11, ORLANDO, FL 32837 | - |
Name | Date |
---|---|
CORLCDSMEM | 2024-10-24 |
Reg. Agent Resignation | 2024-10-24 |
LC Amendment | 2024-10-23 |
ANNUAL REPORT | 2024-03-04 |
ANNUAL REPORT | 2023-03-06 |
ANNUAL REPORT | 2022-03-14 |
ANNUAL REPORT | 2021-03-02 |
ANNUAL REPORT | 2020-02-18 |
ANNUAL REPORT | 2019-05-06 |
Florida Limited Liability | 2018-11-05 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State