| Entity Name: | SPRING BEHAVIOR MANAGEMENT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 27 Jan 2023 (2 years ago) |
| Date of dissolution: | 29 Apr 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Apr 2023 (2 years ago) |
| Document Number: | L23000051848 |
| Address: | 2210 NW 92 AVE, MIAMI, FL 33172 |
| Mail Address: | 2210 NW 92 AVE, MIAMI, FL 33172 |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508563677 | 2023-02-09 | 2023-02-09 | 11401 SW 40TH ST STE 318, MIAMI, FL, 331653339, US | 11401 SW 40TH ST STE 318, MIAMI, FL, 331653339, US | |||||||||||||||||||
|
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| Phone | +1 786-484-4116 |
Authorized person
| Name | LISANDRA GAMBOA HERNANDEZ |
| Role | PRESIDENT |
| Phone | 7864844116 |
Taxonomy
| Taxonomy Code | 106E00000X - Assistant Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 204753590 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GAMBOA HERNANDEZ, LISANDRA | Agent | 4360 SW 108 AVE, MIAMI, FL 33165 |
| Name | Role | Address |
|---|---|---|
| VALLE, ISACHI | Manager | 460 ELDRON DR APT 16, MIAMI SPRINGS, FL 33166 |
| HERNAN, LISANDRA GAMBOA | Manager | 4360 SW 108 AVE, MIAMI, FL 33165 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-03 | 2210 NW 92 AVE, MIAMI, FL 33172 | No data |
| CHANGE OF MAILING ADDRESS | 2023-05-03 | 2210 NW 92 AVE, MIAMI, FL 33172 | No data |
| VOLUNTARY DISSOLUTION | 2023-04-29 | No data | No data |
| LC AMENDMENT | 2023-02-13 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-29 |
| LC Amendment | 2023-02-13 |
| Florida Limited Liability | 2023-01-27 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
