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GENTLE BEHAVIOR SERVICES, LLC

Company Details

Entity Name: GENTLE BEHAVIOR SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Aug 2023 (a year ago)
Document Number: L23000376393
FEI/EIN Number 93-2876373
Address: 13542 N FLORIDA AVE, SUITE 211-D, TAMPA, FL, 33613
Mail Address: 2609 W LUTZ LAKE FERN RD, LUTZ, FL, 33612
ZIP code: 33613
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053192674 2023-10-10 2023-10-10 2609 W LUTZ LAKE FERN RD, LUTZ, FL, 335584998, US 13542 N FLORIDA AVE STE 211D, TAMPA, FL, 336133200, US

Contacts

Phone +1 813-369-0724
Fax 8132002070

Authorized person

Name VANESSA RODRIGUEZ
Role ADM/OWNER
Phone 8133690724

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
rodriguez vanessa Agent 13542 N FLORIDA AVE, TAMPA, FL, 33613

Manager

Name Role Address
CASTELLANOS NATHALY Manager 13542 N FLORIDA AVE, SUITE 211-D, TAMPA, FL, 33613
VALDES BANGUELA JAVIER Manager 13542 N FLORIDA AVE, SUITE 211-D, TAMPA, FL, 33613
RODRIGUEZ VANESSA Manager 13542 N FLORIDA AVE, SUITE 211-D, TAMPA, FL, 33613

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-23 rodriguez, vanessa No data

Documents

Name Date
ANNUAL REPORT 2024-02-23
Florida Limited Liability 2023-08-10

Date of last update: 01 Feb 2025

Sources: Florida Department of State