| Entity Name: | BIO-BEHAVIORAL CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Nov 2000 (24 years ago) |
| Document Number: | P00000103192 |
| FEI/EIN Number | 651058802 |
| Mail Address: | PO BOX 700731, MIAMI, FL, 33170, US |
| Address: | 24180 SW 122nd Ave, Homestead, FL, 33032, US |
| ZIP code: | 33032 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154012250 | 2023-05-18 | 2023-05-18 | PO BOX 700731, MIAMI, FL, 331700731, US | 8976 LANCASTER ST, TAMARAC, FL, 333214115, US | |||||||||||||||||||||||||
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| Phone | +1 786-601-2608 |
| Fax | 3056470250 |
Authorized person
| Name | SAMIR GUSTAVO JEREZ |
| Role | LMHC, BEHAVIOR ANALYST, CEO |
| Phone | 7866012608 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 020425300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JEREZ SAMIR G | Agent | 24180 SW 122nd Ave, Homestead, FL, 33032 |
| Name | Role | Address |
|---|---|---|
| Jerez Samir GLMHC, Q | President | 24180 SW 122nd Ave, Homestead, FL, 33032 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000026013 | GO 2 HELP NETWORK | ACTIVE | 2023-02-24 | 2028-12-31 | No data | C/O BIO-BEHAVIORAL CORP., P.O BOX 700731, MIAMI, FL, 33170 |
| G12000046159 | GO 2 HELP NETWORK | EXPIRED | 2012-05-17 | 2017-12-31 | No data | C/O BIO-BEHAVIORAL CORP, P.O. BOX 700731, MIAMI, FL, 33170 |
| G12000046167 | PSYTEK MANAGEMENT GROUP | EXPIRED | 2012-05-17 | 2017-12-31 | No data | C/0 BIO-BEHAVIORAL CORP, P.O. BOX 700731, MIAMI, FL, 33170 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-14 | 24180 SW 122nd Ave, Homestead, FL 33032 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-14 | 24180 SW 122nd Ave, Homestead, FL 33032 | No data |
| CHANGE OF MAILING ADDRESS | 2003-05-01 | 24180 SW 122nd Ave, Homestead, FL 33032 | No data |
| REGISTERED AGENT NAME CHANGED | 2002-05-13 | JEREZ, SAMIR G | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-03-07 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-02-27 |
| ANNUAL REPORT | 2015-03-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
