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ROOTS BEHAVIOR, LLC

Company Details

Entity Name: ROOTS BEHAVIOR, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Jun 2021 (4 years ago)
Document Number: L21000282318
FEI/EIN Number 87-1258177
Address: 1313 SE 27th Street, Cape Coral, FL, 33904, US
Mail Address: 1313 SE 27th Street, Cape Coral, FL, 33904, US
ZIP code: 33904
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831855352 2021-11-09 2022-04-06 1510 OAK DR, FORT MYERS, FL, 339072816, US 12535 NEW BRITTANY BLVD UNIT 2801, FORT MYERS, FL, 339073625, US

Contacts

Phone +1 239-841-9035
Fax 9418662685

Authorized person

Name YASHIRA N MARTINEZ
Role BCBA/OWNER
Phone 2398419035

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes
Taxonomy Code 106E00000X - Assistant Behavior Analyst
Is Primary No
Taxonomy Code 106S00000X - Behavior Technician
Is Primary No

Agent

Name Role Address
MARTINEZ YASHIRA N Agent 1313 SE 27th Street, Cape Coral, FL, 33904

Manager

Name Role Address
MARTINEZ YASHIRA N Manager 1313 SE 27th Street, Cape Coral, FL, 33904

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-04 1313 SE 27th Street, Cape Coral, FL 33904 No data
CHANGE OF MAILING ADDRESS 2024-02-04 1313 SE 27th Street, Cape Coral, FL 33904 No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-04 1313 SE 27th Street, Cape Coral, FL 33904 No data

Documents

Name Date
ANNUAL REPORT 2024-02-04
ANNUAL REPORT 2023-03-19
ANNUAL REPORT 2022-02-28
Florida Limited Liability 2021-06-17

Date of last update: 02 Feb 2025

Sources: Florida Department of State