Entity Name: | BTEC BEHAVIORAL THERAPY INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 07 Jun 2012 (13 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 02 Jun 2014 (11 years ago) |
Document Number: | P12000052075 |
FEI/EIN Number | 45-5497490 |
Address: | 7100 Plantation Road, #9, Pensacola, FL 32504 |
Mail Address: | 12385 Sorrento Road C3, Pensacola, FL 32507 |
ZIP code: | 32504 |
County: | Escambia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1427495761 | 2013-05-28 | 2013-05-28 | 1508 W GARDEN ST, PENSACOLA, FL, 325024509, US | 1508 W GARDEN ST, PENSACOLA, FL, 325024509, US | |||||||||||||||||||||
|
Phone | +1 850-483-1508 |
Fax | 2519863124 |
Authorized person
Name | LAURI M TURNER |
Role | CLINICAL DIRECTOR |
Phone | 8504831508 |
Taxonomy
Taxonomy Code | 103K00000X - Behavior Analyst |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 007406700 |
State | FL |
Name | Role | Address |
---|---|---|
Turner, Christopher | Agent | 720 DESTIN CT, PENSACOLA, FL 32507-4625 |
Name | Role | Address |
---|---|---|
TURNER, CHRIS W | Director | 720 DESTIN CT, PENSACOLA, FL 32507-4625 |
TURNER, LAURI M | Director | 720 DESTIN CT, PENSACOLA, FL 32507-4625 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-01-23 | 7100 Plantation Road, #9, Pensacola, FL 32504 | No data |
REGISTERED AGENT NAME CHANGED | 2021-05-03 | Turner, Christopher | No data |
REGISTERED AGENT ADDRESS CHANGED | 2021-05-03 | 720 DESTIN CT, PENSACOLA, FL 32507-4625 | No data |
CHANGE OF MAILING ADDRESS | 2021-01-13 | 7100 Plantation Road, #9, Pensacola, FL 32504 | No data |
REINSTATEMENT | 2014-06-02 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-23 |
ANNUAL REPORT | 2023-01-22 |
ANNUAL REPORT | 2022-01-14 |
AMENDED ANNUAL REPORT | 2021-05-03 |
ANNUAL REPORT | 2021-01-13 |
ANNUAL REPORT | 2020-01-20 |
ANNUAL REPORT | 2019-04-01 |
ANNUAL REPORT | 2018-01-13 |
ANNUAL REPORT | 2017-01-11 |
ANNUAL REPORT | 2016-01-19 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State