| Entity Name: | BEHAVIORAL HEALTH ASSESSMENTS PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Jun 2014 (11 years ago) |
| Document Number: | P14000054715 |
| FEI/EIN Number | 47-1180392 |
| Address: | 221 Driggs Dr, SUITE 5377, Winter Park, FL, 32793, US |
| Mail Address: | P.O. BOX 5377, WINTER PARK, FL, 32793 |
| ZIP code: | 32793 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396146981 | 2014-09-15 | 2014-09-15 | PO BOX 5377, WINTER PARK, FL, 327935377, US | 11325 LAKE UNDERHILL RD, SUITE 101, ORLANDO, FL, 328255090, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 407-365-2599 |
| Fax | 4073653132 |
Authorized person
| Name | DR. PAMELA DENISE GREEN |
| Role | SECRETARY |
| Phone | 4073652599 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| License Number | PY2246 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY2246 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 103TH0004X - Health Psychologist |
| License Number | PY2246 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Green Pamela D | Agent | 1017 Moccasin Run Rd, Oviedo, FL, 32765 |
| Name | Role | Address |
|---|---|---|
| GREEN PAMELA D | President | 11325 LAKE UNDERHILL RD STE 101, ORLANDO, FL, 32825 |
| Name | Role | Address |
|---|---|---|
| GREEN PAMELA D | Director | P.O. BOX 5377, WINTER PARK, FL, 32793 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000077818 | PAMELA GREEN | EXPIRED | 2015-07-28 | 2020-12-31 | No data | P.O. BOX 5377, WINTER PARK, FL, 32793 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-23 | 221 Driggs Dr, SUITE 5377, Winter Park, FL 32793 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-03-14 | Green, Pamela D | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-14 | 1017 Moccasin Run Rd, Oviedo, FL 32765 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-24 |
| ANNUAL REPORT | 2023-03-04 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-03-02 |
| ANNUAL REPORT | 2020-03-02 |
| ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-03-20 |
| ANNUAL REPORT | 2015-02-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
