| Entity Name: | INCREDIBLE MIND BEHAVIOR SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Nov 2022 (2 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 15 Nov 2023 (a year ago) |
| Document Number: | L22000488628 |
| FEI/EIN Number | 92-1085137 |
| Address: | 175 FOUNTAINEBLEAU BLVD, SUITE 1K-2, MIAMI, FL 33172 |
| Mail Address: | 175 FOUNTAINEBLEAU BLVD, SUITE 1K-2, MIAMI, FL 33172 |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912617002 | 2022-11-29 | 2022-11-29 | 175 FONTAINEBLEAU BLVD # 1K2, MIAMI, FL, 331727018, US | 175 FONTAINEBLEAU BLVD # 1K2, MIAMI, FL, 331727018, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 786-763-1109 |
Authorized person
| Name | MR. JOAQUIN CAMEJO |
| Role | AUTHORIZED OFFICAL |
| Phone | 3059673918 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | 764495 |
| Number | LBT |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CAMEJO, JOAQUIN | Agent | 175 FOUNTAINEBLEAU BLVD, SUITE 1K-2, MIAMI, FL 33172 |
| Name | Role | Address |
|---|---|---|
| CAMEJO, JOAQUIN | Authorized Member | 175 FOUNTAINEBLEAU BLVD, SUITE 1K-2 MIAMI, FL 33172 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-11-15 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-11-15 | CAMEJO, JOAQUIN | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| LC AMENDMENT | 2022-11-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-11-28 | 175 FOUNTAINEBLEAU BLVD, SUITE 1K-2, MIAMI, FL 33172 | No data |
| CHANGE OF MAILING ADDRESS | 2022-11-28 | 175 FOUNTAINEBLEAU BLVD, SUITE 1K-2, MIAMI, FL 33172 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-15 |
| REINSTATEMENT | 2023-11-15 |
| LC Amendment | 2022-11-28 |
| Florida Limited Liability | 2022-11-15 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
