| Entity Name: | FST BEHAVIORAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Oct 2024 (4 months ago) |
| Document Number: | L24000433219 |
| Address: | 1200 N CENTRAL AVE, STE 110, KISSIMMEE, FL 34741 |
| Mail Address: | 1650 SANDLAKE RD, 230, ORLANDO, FL 32809 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437978541 | 2024-10-07 | 2024-10-11 | 1650 SAND LAKE RD STE 230, ORLANDO, FL, 328099138, US | 1200 N CENTRAL AVE STE 110, KISSIMMEE, FL, 347414439, US | |||||||||||||||
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| Phone | +1 407-530-5063 |
| Fax | 8773995578 |
Authorized person
| Name | FEDERICO NICOLAS |
| Role | COO |
| Phone | 4075305063 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NICHOLAS, FEDERICO | Agent | 1650 SANDLAKE RD, STE 230, ORLANDO, FL 32809 |
| Name | Role |
|---|---|
| FIRST STEP THERAPY LLC | Manager |
| Name | Role | Address |
|---|---|---|
| NICHOLAS, FEDERICO | Authorized Member | 1650 SANDLAKE RD STE 230, ORLANDO, FL 32809 |
| Name | Role | Address |
|---|---|---|
| SHAIKH, SAMINA | AMBE | 1650 SANDLAKE RD STE 230, ORLANDO, FL 32809 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000144600 | FIRST STEP THERAPY | ACTIVE | 2024-11-27 | 2029-12-31 | No data | 1650 SANDLAKE RD, STE 230, ORLANDO, FL, 32809 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-10-08 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
