| Entity Name: | LAKELAND BEHAVIOR SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
LAKELAND BEHAVIOR SERVICES, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 26 May 2022 (3 years ago) |
| Document Number: | L22000245353 |
| FEI/EIN Number |
APPLIED FOR
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4037 CENTRAL AVE SE, HIGHLAND CITY, FL, 33846, US |
| Mail Address: | 4037 CENTRAL AVE SE, HIGHLAND CITY, FL, 33846, US |
| ZIP code: | 33846 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598497885 | 2022-06-27 | 2022-06-27 | 3745 HILL ST, LAKELAND, FL, 338124338, US | 3745 HILL ST, LAKELAND, FL, 338124338, US | |||||||||||||||||||
|
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| Phone | +1 786-602-0904 |
Authorized person
| Name | LUIS A YANCE |
| Role | ADMIN |
| Phone | 7866020904 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | PENDING |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MIRANDA CASTILLO DELVIS M | Manager | 3745 HILL ST, LAKELAND, FL, 33812 |
| MIRANDA CASTILLO DELVIS A | Agent | 4037 CENTRAL AVE SE, HIGHLAND CITY, FL, 33846 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-27 | 4037 CENTRAL AVE SE, HIGHLAND CITY, FL 33846 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-27 | 4037 CENTRAL AVE SE, HIGHLAND CITY, FL 33846 | - |
| REGISTERED AGENT NAME CHANGED | 2024-04-27 | MIRANDA CASTILLO, DELVIS A | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-27 | 4037 CENTRAL AVE SE, HIGHLAND CITY, FL 33846 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-03-27 |
| Florida Limited Liability | 2022-05-26 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
