| Entity Name: | LIFESTYLE BEHAVIOR, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Dec 2022 (2 years ago) |
| Document Number: | L22000530964 |
| FEI/EIN Number | 921476055 |
| Address: | 1931 NW 150th Avenue, Suite 223, Pembroke Pines, FL, 33028, US |
| Mail Address: | 1931 NW 150th Avenue, Suite 223, Pembroke Pines, FL, 33028, US |
| ZIP code: | 33028 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669152286 | 2023-07-19 | 2024-02-08 | 1931 NW 150TH AVE, STE 223, PEMBROKE PINES, FL, 330282880, US | 1931 NW 150TH AVE, STE 223, PEMBROKE PINES, FL, 330282880, US | |||||||||||||||
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| Phone | +1 954-406-7278 |
| Fax | 9544067241 |
Authorized person
| Name | ANTONIO E GONZALEZ VELEZ |
| Role | OWNER |
| Phone | 7542610682 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONZALEZ VELEZ ANTONIO E | Agent | 1931 NW 150th Avenue, Pembroke Pines, FL, 33028 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ VELEZ ANTONIO E | Manager | 1931 NW 150th Avenue, Pembroke Pines, FL, 33028 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-08 | 1931 NW 150th Avenue, Suite 223, Pembroke Pines, FL 33028 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-08 | 1931 NW 150th Avenue, Suite 223, Pembroke Pines, FL 33028 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-08 | 1931 NW 150th Avenue, Suite 223, Pembroke Pines, FL 33028 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| Florida Limited Liability | 2022-12-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
