| Entity Name: | BEHAVIOR INTEGRATIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Jul 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 30 Oct 2019 (5 years ago) |
| Document Number: | L19000175217 |
| FEI/EIN Number | 84-2307921 |
| Address: | 3641 Haddington Court, Apopka, FL, 32712, US |
| Mail Address: | 3641 Haddington Court, Apopka, FL, 32712, US |
| ZIP code: | 32712 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326682410 | 2019-10-31 | 2023-01-03 | 3641 HADDINGTON CT, APOPKA, FL, 327125690, US | 498 N STATE ROAD 434 STE 1011, ALTAMONTE SPRINGS, FL, 327142172, US | |||||||||||||||||||||||||||||
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| Phone | +1 407-937-9016 |
| Fax | 4077039561 |
| Phone | +1 407-810-5315 |
Authorized person
| Name | VANESSA M BRACERO |
| Role | FOUNDER |
| Phone | 4079379016 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1730417239 |
| State | FL |
| Issuer | MEDICAID |
| Number | 018800600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BRACERO VANESSA M | Agent | 3641 Haddington Court, Apopka, FL, 32712 |
| Name | Role | Address |
|---|---|---|
| Bracero Vanessa M | Owne | 3641 Haddington Court, Apopka, FL, 32712 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000078277 | BEHAVIOR INTEGRATIONS, LLC | EXPIRED | 2019-07-20 | 2024-12-31 | No data | 498 N STATE RD 434 SUITE 1011, ALTAMONTE SPRINGS, FL, 32714 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-20 | 3641 Haddington Court, Apopka, FL 32712 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-20 | 3641 Haddington Court, Apopka, FL 32712 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-20 | 3641 Haddington Court, Apopka, FL 32712 | No data |
| LC AMENDMENT | 2019-10-30 | No data | No data |
| LC AMENDMENT | 2019-10-02 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-09 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-01-30 |
| LC Amendment | 2019-10-30 |
| LC Amendment | 2019-10-02 |
| Florida Limited Liability | 2019-07-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
