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  5. FAMILY BEHAVIORAL SUPPORT, INC

FAMILY BEHAVIORAL SUPPORT, INC

Company Details

Entity Name: FAMILY BEHAVIORAL SUPPORT, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 Sep 2015 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 31 Oct 2016 (8 years ago)
Document Number: P15000074093
FEI/EIN Number 47-4965375
Address: 12665 WHITE CEDAR TRAIL, JACKSONVILLE, FL, 32226
Mail Address: 12665 WHITE CEDAR TRAIL, JACKSONVILLE, FL, 32226
ZIP code: 32226
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487024535 2015-10-01 2017-02-09 12665 WHITE CEDAR TRL, JACKSONVILLE, FL, 322265032, US 12665 WHITE CEDAR TRL, JACKSONVILLE, FL, 322265032, US

Contacts
Phone +1 904-535-0660

Authorized person
Name KRISTEN DUFFNEY
Role PRESIDENT
Phone 9045350660

Taxonomy
Taxonomy Code 103K00000X - Behavior Analyst
License Number 1-09-5608
State FL
Is Primary Yes
Taxonomy Code 106E00000X - Assistant Behavior Analyst
License Number 0-13-5622
State FL
Is Primary No
Taxonomy Code 106S00000X - Behavior Technician
License Number RBT-15-02211
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY BEHAVIORAL SUPPORT, INC. 401(K) PLAN 2023 474965375 2024-08-20 FAMILY BEHAVIORAL SUPPORT, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-09-11
Business code 621330
Sponsor’s telephone number 9045360660
Plan sponsor’s address 12665 WHITE CEDAR TRAIL, JACKSONVILLE, FL, 32226
FAMILY BEHAVIORAL SUPPORT, INC. 401(K) PLAN 2022 474965375 2023-04-19 FAMILY BEHAVIORAL SUPPORT, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-09-11
Business code 621330
Sponsor’s telephone number 9045360660
Plan sponsor’s address 12665 WHITE CEDAR TRAIL, JACKSONVILLE, FL, 32226
FAMILY BEHAVIORAL SUPPORT, INC. 401(K) PLAN 2021 474965375 2022-07-25 FAMILY BEHAVIORAL SUPPORT, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-09-11
Business code 621330
Sponsor’s telephone number 9045360660
Plan sponsor’s address 12665 WHITE CEDAR TRAIL, JACKSONVILLE, FL, 32226
FAMILY BEHAVIORAL SUPPORT, INC. 401(K) PLAN 2020 474965375 2021-07-13 FAMILY BEHAVIORAL SUPPORT, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-09-11
Business code 621330
Sponsor’s telephone number 9045360660
Plan sponsor’s address 11665 WHITE CEDAR TRAIL, JACKSONVILLE, FL, 32226
FAMILY BEHAVIORAL SUPPORT, INC. 401(K) PLAN 2019 474965375 2020-05-19 FAMILY BEHAVIORAL SUPPORT, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-09-11
Business code 621330
Sponsor’s telephone number 9047514783
Plan sponsor’s address 12665 WHITE CEDAR TRAIL, JACKSONVILLE, FL, 32226
FAMILY BEHAVIORAL SUPPORT, INC. 401(K) PLAN 2018 474965375 2019-04-29 FAMILY BEHAVIORAL SUPPORT, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-09-11
Business code 621330
Sponsor’s telephone number 9047514783
Plan sponsor’s address 12665 WHITE CEDAR TRAIL, JACKSONVILLE, FL, 32226
FAMILY BEHAVIORAL SUPPORT, INC. 401(K) PLAN 2017 474965375 2018-04-27 FAMILY BEHAVIORAL SUPPORT, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-09-11
Business code 621330
Sponsor’s telephone number 9045350660
Plan sponsor’s address 12665 WHITE CEDAR TRAIL, JACKSONVILLE, FL, 32226
FAMILY BEHAVIORAL SUPPORT, INC. 2016 474965375 2017-05-17 FAMILY BEHAVIORAL SUPPORT, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-09-11
Business code 621330
Sponsor’s telephone number 9047514783
Plan sponsor’s address 12665 WHITE CEDAR TRAIL, JACKSONVILLE, FL, 32226
FAMILY BEHAVIORAL SUPPORT, INC. 2015 474965375 2016-10-17 FAMILY BEHAVIORAL SUPPORT, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-09-11
Business code 621330
Sponsor’s telephone number 9047514783
Plan sponsor’s address 12665 WHITE CEDAR TRAIL, JACKSONVILLE, FL, 32226

Agent

Name Role Address
DUFFNEY KRISTEN Agent 12665 WHITE CEDAR TRAIL, JACKSONVILLE, FL, 32226

President

Name Role Address
DUFFNEY KRISTEN President 12665 WHITE CEDAR TRAIL, JACKSONVILLE, FL, 32226

Events

Event Type Filed Date Value Description
REINSTATEMENT 2016-10-31 No data No data
REGISTERED AGENT NAME CHANGED 2016-10-31 DUFFNEY, KRISTEN No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-01-07
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-01-09
REINSTATEMENT 2016-10-31
Domestic Profit 2015-09-11

Related by officers

DUFFNEY KRISTEN

MISSING LINK BEHAVIORAL SERVICES, LLC DUFFNEY RETREAT, LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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