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SIDE BY SIDE BEHAVIORAL HEALTH LLC

Company Details

Entity Name: SIDE BY SIDE BEHAVIORAL HEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Nov 2018 (6 years ago)
Last Event: LC DISSOCIATION MEM
Event Date Filed: 24 Oct 2024 (3 months ago)
Document Number: L18000258562
FEI/EIN Number 83-2453905
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

National Provider Identifier

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

Contacts

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

form 5500

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
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 2024-05-14
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
SIDE BY SIDE BEHAVIORAL HEALTH LLC 401(K) PLAN 2022 832453905 2023-05-27 SIDE BY SIDE BEHAVIORAL HEALTH LLC 19
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
SIDE BY SIDE BEHAVIORAL HEALTH LLC 401(K) PLAN 2021 832453905 2022-06-01 SIDE BY SIDE BEHAVIORAL HEALTH LLC 10
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
SIDE BY SIDE BEHAVIORAL HEALTH LLC 401(K) PLAN 2020 832453905 2021-06-16 SIDE BY SIDE BEHAVIORAL HEALTH LLC 0
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

Agent

Name Role Address
FISCHER EFREN Agent 2151 Consulate Dr, Suite 11, ORLANDO, FL, 32837

Manager

Name Role Address
FACHADO INGRID Manager 4094 FLORALWOOD CT, ORLANDO, FL, 32812
FISCHER EFREN Manager 4094 FLORALWOOD CT, ORLANDO, FL, 32812

Events

Event Type Filed Date Value Description
LC DISSOCIATION MEM 2024-10-24 No data No data
LC AMENDMENT 2024-10-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2024-10-17 2151 Consulate Dr, Suite 11, ORLANDO, FL 32837 No data
CHANGE OF MAILING ADDRESS 2024-10-17 2151 Consulate Dr, Suite 11, ORLANDO, FL 32837 No data
REGISTERED AGENT ADDRESS CHANGED 2022-03-14 2151 Consulate Dr, Suite 11, ORLANDO, FL 32837 No data

Documents

Name Date
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 Feb 2025

Sources: Florida Department of State