| Entity Name: | BELIEVE AUTISM BEHAVIORAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 May 2021 (4 years ago) |
| Document Number: | L21000230790 |
| FEI/EIN Number | 86-3965738 |
| Address: | 31 ADAMS ST, APT 608, JACKSONVILLE, FL, 32202, US |
| Mail Address: | 31 ADAMS ST, APT 608, JACKSONVILLE, FL, 32202, US |
| ZIP code: | 32202 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942879440 | 2021-06-21 | 2021-06-21 | 31 W ADAMS ST APT 608, JACKSONVILLE, FL, 322023631, US | 31 W ADAMS ST APT 608, JACKSONVILLE, FL, 322023631, US | |||||||||||||||||||||
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| Phone | +1 704-277-1884 |
| Fax | 9042892672 |
Authorized person
| Name | CRYSTAL SHAREE THOMPSON |
| Role | OWNER, CLINICAL DIRECTOR |
| Phone | 7042771884 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101509700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THOMPSON CRYSTAL S | Agent | 31 W ADAMS ST, JACKSONVILLE, FL, 32202 |
| Name | Role | Address |
|---|---|---|
| THOMPSON CRYSTAL S | Manager | 31 W ADAMS ST APT 608, JACKSONVILLE, FL, 32202 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-04-11 |
| Florida Limited Liability | 2021-05-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
