| Entity Name: | FLORIDA BEHAVIOR SUPPORT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Apr 2022 (3 years ago) |
| Document Number: | L22000195990 |
| FEI/EIN Number | 88-1971080 |
| Address: | 5216 4TH AVENUE CIRCLE EAST, BRADENTON, FL 34208 |
| Mail Address: | 5216 4TH AVENUE CIRCLE EAST, BRADENTON, FL 34208 |
| ZIP code: | 34208 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851020564 | 2022-06-08 | 2022-06-08 | 5216 4TH AVENUE CIR E, BRADENTON, FL, 342085621, US | 5216 4TH AVENUE CIR E, BRADENTON, FL, 342085621, US | |||||||||||||
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| Phone | +1 941-730-9404 |
Authorized person
| Name | ABRAHAM ISMAEL SANCHEZ |
| Role | MANAGING MEMBER |
| Phone | 9415495198 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SANCHEZ, ABRAHAM | Agent | 3909 45TH TER W, UNIT 107, BRADENTON, FL 34210 |
| Name | Role | Address |
|---|---|---|
| KINCHLOW, RAQUEL | Member | 3909 45TH TER W UNIT 107, BRADENTON, FL 34210 |
| SANCHEZ, ABRAHAM | Member | 3909 45TH TER W UNIT 07, BRADENTON, FL 34210 |
| HERNANDEZ, KENNY | Member | 3909 45TH TER UNIT 107, BRADENTON, FL 34210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-22 | 5216 4TH AVENUE CIRCLE EAST, BRADENTON, FL 34208 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-22 | 5216 4TH AVENUE CIRCLE EAST, BRADENTON, FL 34208 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-01 |
| Florida Limited Liability | 2022-04-25 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
