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DIAMOND CHILD BEHAVIORAL SERVICES, LLC

Company Details

Entity Name: DIAMOND CHILD BEHAVIORAL SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Feb 2023 (2 years ago)
Document Number: L23000066880
FEI/EIN Number NOT APPLICABLE
Address: 220 KETTERING COURT, LONGWOOD, FL, 32779, US
Mail Address: 220 KETTERING COURT, LONGWOOD, FL, 32779
ZIP code: 32779
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669219374 2024-07-10 2024-07-10 220 KETTERING CT, LONGWOOD, FL, 327794519, US 220 KETTERING CT, LONGWOOD, FL, 327794519, US

Contacts

Phone +1 407-866-5152
Fax 4078665152

Authorized person

Name MS. ANDREA BRADLEY
Role OWNER
Phone 4078665152

Taxonomy

Taxonomy Code 106S00000X - Behavior Technician
Is Primary Yes
Taxonomy Code 385H00000X - Respite Care
Is Primary No

Agent

Name Role Address
BRADLEY ANDREA Agent 220 KETTERING COURT, LONGWOOD, FL, 32779

Manager

Name Role Address
Bradley Andrea Manager 220 Kettering Ct, Longwood, FL, 32779

Documents

Name Date
ANNUAL REPORT 2024-04-24
Florida Limited Liability 2023-02-06

Date of last update: 01 Feb 2025

Sources: Florida Department of State