| Entity Name: | EARLY INTERVENTION BEHAVIORAL SERVICES CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 29 Aug 2017 (7 years ago) |
| Document Number: | P17000072439 |
| FEI/EIN Number | 82-2646771 |
| Address: | 9240 SW 158th Ln, Palmetto Bay, FL 33157 |
| Mail Address: | 711 CALATRAVA AVE, CORAL GABLES, FL 33143 |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295472355 | 2022-05-18 | 2023-11-02 | 711 CALATRAVA AVE, CORAL GABLES, FL, 331436203, US | 15936 SW 92ND AVE, PALMETTO BAY, FL, 331571842, US | |||||||||||||||||||||
|
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| Phone | +1 305-785-9425 |
Authorized person
| Name | HORACIO ALZATE |
| Role | PRESIDENT |
| Phone | 3057882849 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ALZATE, HORACIO | Agent | 711 CALATRAVA AVE, CORAL GABLES, FL 33143 |
| Name | Role | Address |
|---|---|---|
| ALZATE, HORACIO | Director | 711 CALATRAVA AVE, CORAL GABLES, FL 33143 |
| SABOGAL, MARIA CAROLINA | Director | 711 CALATRAVA AVE, CORAL GABLES, FL 33143 |
| MEJIA, MARIA | Director | 711 CALATRAVA AVE, CORAL GABLES, FL 33143 |
| Name | Role | Address |
|---|---|---|
| ALZATE, HORACIO | President | 711 CALATRAVA AVE, CORAL GABLES, FL 33143 |
| Name | Role | Address |
|---|---|---|
| SABOGAL, MARIA CAROLINA | Vice President | 711 CALATRAVA AVE, CORAL GABLES, FL 33143 |
| MEJIA, MARIA | Vice President | 711 CALATRAVA AVE, CORAL GABLES, FL 33143 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-12 | 9240 SW 158th Ln, Palmetto Bay, FL 33157 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-01-14 |
| ANNUAL REPORT | 2021-01-21 |
| AMENDED ANNUAL REPORT | 2020-11-18 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-01-11 |
| ANNUAL REPORT | 2018-07-25 |
| Domestic Profit | 2017-08-29 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
