| Entity Name: | SPECTRA BEHAVIORAL SOLUTIONS INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 12 Feb 2018 (7 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P18000014644 |
| FEI/EIN Number | 82-4425036 |
| Address: | 10501 SIX MILE CYPRESS PARKWAY, SUITE 115, FORT MYERS, FL 33966 |
| Mail Address: | 10501 SIX MILE CYPRESS PARKWAY, SUITE 115, FORT MYERS, FL 33966 |
| ZIP code: | 33966 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639658925 | 2018-08-08 | 2018-08-08 | 10501 BEN C PRATT/6 MILE CYPRESS PKWY STE 115, FORT MYERS, FL, 339666400, US | 10501 BEN C PRATT/6 MILE CYPRESS PKWY STE 115, FORT MYERS, FL, 339666400, US | |||||||||||||||||||
|
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| Phone | +1 239-303-2583 |
Authorized person
| Name | ZENAIDA PAULA |
| Role | OWNER/PRESIDENT |
| Phone | 2393032583 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 704618 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PAULA, ZENAIDA | Agent | 10501 SIX MILE CYPRESS PARKWAY, SUITE 115, FORT MYERS, FL 33966 |
| Name | Role | Address |
|---|---|---|
| PAULA, ZENAIDA | President | 10501 SIX MILE CYPRESS PARKWAY SUITE 115, FORT MYERS, FL 33966 |
| Name | Role | Address |
|---|---|---|
| MONDEJAR, JENNIFER | Vice President | 10501 SIX MILE CYPRESS PARKWAY SUITE 115, FORT MYERS, FL 33966 |
| HERNANDEZ, JANET | Vice President | 10501 SIX MILE CYPRESS PARKWAY SUITE 115, FORT MYERS, FL 33966 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-03-09 |
| Domestic Profit | 2018-02-12 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
