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EGD BEHAVIOR THERAPIES LLC

Company Details

Entity Name: EGD BEHAVIOR THERAPIES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 09 Aug 2022 (3 years ago)
Document Number: L22000349625
FEI/EIN Number 83-3660815
Address: 2300 NW 94TH AVE, SUITE 202, DORAL, FL 33172
Mail Address: 2300 NW 94TH AVE, SUITE 202, DORAL, FL 33172
ZIP code: 33172
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093545691 2024-08-07 2024-08-07 2300 NW 94TH AVE STE 202, DORAL, FL, 331722343, US 2300 NW 94TH AVE STE 202, DORAL, FL, 331722343, US

Contacts

Phone +1 305-721-7217

Authorized person

Name EDUARDO GUZMAN
Role MGR
Phone 7864026681

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
GUZMAN DIAZ, EDUARDO J Agent 2300 NW 94TH AVE, SUITE 202, DORAL, FL 33172

Manager

Name Role Address
GUZMAN DIAZ, EDUARDO J Manager 6646 SW 115TH CT APT 119, MIAMI, FL 33173

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-07-25 2300 NW 94TH AVE, SUITE 202, DORAL, FL 33172 No data
CHANGE OF MAILING ADDRESS 2024-07-25 2300 NW 94TH AVE, SUITE 202, DORAL, FL 33172 No data
REGISTERED AGENT ADDRESS CHANGED 2024-07-25 2300 NW 94TH AVE, SUITE 202, DORAL, FL 33172 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-07-25
ANNUAL REPORT 2024-03-12
ANNUAL REPORT 2023-04-06
Florida Limited Liability 2022-08-09

Date of last update: 11 Feb 2025

Sources: Florida Department of State