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BEHAVIORAL LANE, LLC

Company Details

Entity Name: BEHAVIORAL LANE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Jun 2021 (4 years ago)
Document Number: L21000257961
FEI/EIN Number 87-1543799
Address: 7603 ALTAMA ROAD, JACKSONVILLE, FL, 32216, US
Mail Address: 7603 ALTAMA ROAD, JACKSONVILLE, FL, 32216, US
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568033025 2021-07-06 2024-08-27 7603 ALTAMA RD, JACKSONVILLE, FL, 322169309, US 7603 ALTAMA RD, JACKSONVILLE, FL, 322169309, US

Contacts

Phone +1 904-250-0852

Authorized person

Name MARIAH LANE
Role OWNER
Phone 9042500852

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
LANE MARIAH A Agent 7603 ALTAMA ROAD, JACKSONVILLE, FL, 32216

Manager

Name Role Address
LANE MARIAH A Manager 7603 ALTAMA ROAD, JACKSONVILLE, FL, 32216

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-07-11
ANNUAL REPORT 2022-03-15
Florida Limited Liability 2021-06-03

Date of last update: 01 Feb 2025

Sources: Florida Department of State