| Entity Name: | BRILLIANT BLUE BEHAVIOR ANALYSIS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Oct 2022 (2 years ago) |
| Document Number: | L22000436346 |
| FEI/EIN Number | 88-4177005 |
| Mail Address: | 13100 SW 262ND LN, HOMESTEAD, FL 33032 |
| Address: | 13100 sw 262nd ln, HOMESTEAD, FL 33032 |
| ZIP code: | 33032 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083314652 | 2023-03-03 | 2023-03-21 | 13100 SW 262ND LN, HOMESTEAD, FL, 330328924, US | 100 NE 15TH ST STE 209, HOMESTEAD, FL, 330304581, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 786-404-3479 |
| Fax | 7864043480 |
| Phone | +1 786-509-3700 |
Authorized person
| Name | VIVIANA FERNANDEZ |
| Role | PRESIDENT |
| Phone | 7865093700 |
Taxonomy
| Taxonomy Code | 106S00000X - Behavior Technician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ, VIVIANA | Agent | 13100 SW 262ND LN, HOMESTEAD, FL 33032 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ, VIVIANA | Manager | 13100 SW 262ND LN, HOMESTEAD, FL 33032 |
| Name | Role | Address |
|---|---|---|
| Fernandez, Angela M | Director | 13100 sw 262nd ln, HOMESTEAD, FL 33032 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-29 | 13100 sw 262nd ln, HOMESTEAD, FL 33032 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-03-08 |
| Florida Limited Liability | 2022-10-10 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
