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SYSTEMIC BEHAVIORAL THERAPY, LLC

Company Details

Entity Name: SYSTEMIC BEHAVIORAL THERAPY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Jun 2021 (4 years ago)
Document Number: L21000270014
FEI/EIN Number 87-3288591
Address: 9641 NW 11th St., Plantation, FL, 33322, US
Mail Address: 9641 NW 11th St., Plantation, FL, 33322, US
ZIP code: 33322
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235702341 2021-07-19 2021-07-19 2180 W FIRST ST STE 100, FORT MYERS, FL, 339013221, US 2180 W FIRST ST STE 100, FORT MYERS, FL, 339013221, US

Contacts

Phone +1 786-697-6201

Authorized person

Name DR. JOELY L SPENCER
Role CEO, OWNER
Phone 7866976201

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
SPENCER JOELY Agent 9641 NW 11TH ST, PLANTATION, FL, 33322

Authorized Member

Name Role Address
SPENCER JOELY Authorized Member 9641 NW 11TH ST, PLANTATION, FL, 33322

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-10-16 9641 NW 11th St., Plantation, FL 33322 No data
CHANGE OF MAILING ADDRESS 2024-10-16 9641 NW 11th St., Plantation, FL 33322 No data

Documents

Name Date
ANNUAL REPORT 2024-03-23
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-02-01
Florida Limited Liability 2021-06-10

Date of last update: 02 Feb 2025

Sources: Florida Department of State