| Entity Name: | CHANGING LIVES BEHAVIOR THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Jun 2019 (6 years ago) |
| Document Number: | L19000168854 |
| FEI/EIN Number | 84-2387886 |
| Address: | 6201 SOUTHWEST 188TH AVENUE, SOUTHWEST RANCHES, FL, 33332, US |
| Mail Address: | 6201 SOUTHWEST 188TH AVENUE, SOUTHWEST RANCHES, FL, 33332, US |
| ZIP code: | 33332 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164079620 | 2019-08-20 | 2022-11-28 | 6201 SW 188TH AVE, SOUTHWEST RANCHES, FL, 333321350, US | 6201 SW 188TH AVE, SOUTHWEST RANCHES, FL, 333321350, US | |||||||||||||
|
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| Phone | +1 954-918-3592 |
Authorized person
| Name | JENNY AMARANTE |
| Role | BOARD CERTIFIED BEHAVIOR ANALYST |
| Phone | 9549183592 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Amarante Jenny MS BCBA | Agent | 6201 SOUTHWEST 188TH AVENUE, SOUTHWEST RANCHES, FL, 33332 |
| Name | Role | Address |
|---|---|---|
| Amarante Jenny | Manager | 6201 SW 188 Avenue, SOUTHWEST RANCHES, FL, 33332 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-09-13 | Amarante, Jenny, MS BCBA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-03-18 |
| ANNUAL REPORT | 2021-09-13 |
| ANNUAL REPORT | 2020-04-06 |
| Florida Limited Liability | 2019-06-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
