| Entity Name: | BELLA BLANCA BEHAVIORAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Oct 2024 (4 months ago) |
| Document Number: | L24000436567 |
| Address: | 1975 E SUNRISE BLVD, SUITE 719, FORT LAUDERDALE, FL 33304 |
| Mail Address: | 1975 E SUNRISE BLVD, SUITE 719, FORT LAUDERDALE, FL 33304 |
| ZIP code: | 33304 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285456939 | 2024-10-24 | 2024-10-24 | 1975 E SUNRISE BLVD, SUITE 719, FORT LAUDERDALE, FL, 33304, US | 1975 E SUNRISE BLVD, SUITE 719, FORT LAUDERDALE, FL, 33304, US | |||||||||||||
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| Phone | +1 305-632-6393 |
Authorized person
| Name | MARGARITA PEREZ |
| Role | PRESIDENT |
| Phone | 3056326393 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ, MARGARITA M | Agent | 1975 E SUNRISE BLVD, SUITE 719, FORT LAUDERDALE, FL 33304 |
| Name | Role | Address |
|---|---|---|
| PEREZ, MARGARITA M | Manager | 1975 E SUNRISE BLVD SUITE 719, FORT LAUDERDALE, FL 33304 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-10-11 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
