| Entity Name: | POSITIVE BEHAVIOR HEALTH DEVELOPMENTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Jun 2018 (7 years ago) |
| Document Number: | P18000055661 |
| FEI/EIN Number | 83-1049194 |
| Address: | 2525 Ponce De Leon blvd, ste 300, CORAL GABLES, FL 33134 |
| Mail Address: | 2965 SW 16TH STREET, SPACE ONE, MIAMI, FL 33145 |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558021980 | 2021-12-27 | 2023-01-18 | 400 N ASHLEY DR STE 1900, TAMPA, FL, 336024311, US | 400 N ASHLEY DR STE 1900, TAMPA, FL, 336024311, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 888-343-7222 |
| Fax | 8887910181 |
Authorized person
| Name | ROSA KUCHLING |
| Role | CLIENT RELATIONS MANAGER |
| Phone | 8883437222 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Taxonomy Code | 106E00000X - Assistant Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 106S00000X - Behavior Technician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 111425200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DER ROHE-BORGHESE, GEMA | Agent | 2965 SW 16TH STREET, SPACE ONE, MIAMI, FL 33145 |
| Name | Role | Address |
|---|---|---|
| DER ROHE-BORGHESE, GEMA | President | 2965 SW 16TH STREET, MIAMI, FL 33145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-11-22 | 2525 Ponce De Leon blvd, ste 300, CORAL GABLES, FL 33134 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-03-12 |
| ANNUAL REPORT | 2021-02-27 |
| ANNUAL REPORT | 2020-03-14 |
| ANNUAL REPORT | 2019-04-13 |
| Domestic Profit | 2018-06-21 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
