| Entity Name: | BEHAVIOR PROFESSIONAL SERVICES MIAMI, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Jul 2017 (8 years ago) |
| Document Number: | P17000059641 |
| FEI/EIN Number | 82-2170301 |
| Address: | 2450 SW 137 AVE, MIAMI, FL, 33175, US |
| Mail Address: | 2450 SW 137 AVE, MIAMI, FL, 33175, US |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154910347 | 2021-01-13 | 2024-09-20 | 2450 SW 137TH AVE STE 232, MIAMI, FL, 331756320, US | 2450 SW 137TH AVE STE 232, MIAMI, FL, 331756320, US | |||||||||||||||||||
|
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| Phone | +1 786-720-6918 |
Authorized person
| Name | MS. YANESI D CRUZ ESTRADA |
| Role | PRESIDENT |
| Phone | 7867206918 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 116161000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CRUZ ESTRADA YANESI D | Agent | 2450 SW 137 AVE, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| CRUZ ESTRADA YANESI D | President | 2450 SW 137 AVE, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| CRUZ ESTRADA YANESI D | Director | 2450 SW 137 AVE, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| GARCIA MORALES AYLEN | Vice President | 2450 SW 137 AVE, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-04 | 2450 SW 137 AVE, 232, MIAMI, FL 33175 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-04 | 2450 SW 137 AVE, 232, MIAMI, FL 33175 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-09-04 | 2450 SW 137 AVE, 232, MIAMI, FL 33175 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-17 |
| AMENDED ANNUAL REPORT | 2024-10-02 |
| AMENDED ANNUAL REPORT | 2024-09-04 |
| ANNUAL REPORT | 2024-03-14 |
| AMENDED ANNUAL REPORT | 2023-11-15 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
