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EMERALD COAST BEHAVIOR, INC. - Florida Company Profile

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Company Details

Entity Name: EMERALD COAST BEHAVIOR, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Apr 2019 (6 years ago)
Document Number: P19000029204
FEI/EIN Number 83-4495639
Address: 4657 Gulf Breeze Pkwy, Gulf Breeze, FL, 32563, US
Mail Address: 4657 Gulf Breeze Pkwy, Gulf Breeze, FL, 32563, US
ZIP code: 32563
City: Gulf Breeze
County: Santa Rosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Rodamaker Abigail M Agent 4657 Gulf Breeze Pkwy, Gulf Breeze, FL, 32563
WOLFF CANDICE L Vice President 5747 E BAY BLVD, GULF BREEZE, 32563
RODAMAKER ABIGAIL President 2759 Pebble Beach Dr, Navarre, FL, 32566

National Provider Identifier

NPI Number:
1033778659
Certification Date:
2020-01-06

Authorized Person:

Name:
CANDICE LEE WOLFF
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
252Y00000X - Early Intervention Provider Agency
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
834495639
Plan Year:
2024
Number Of Participants:
3
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2025-02-07 Rodamaker, Abigail M -
CHANGE OF PRINCIPAL ADDRESS 2024-03-07 4657 Gulf Breeze Pkwy, Ste C, Gulf Breeze, FL 32563 -
CHANGE OF MAILING ADDRESS 2024-03-07 4657 Gulf Breeze Pkwy, Ste C, Gulf Breeze, FL 32563 -
REGISTERED AGENT ADDRESS CHANGED 2024-03-07 4657 Gulf Breeze Pkwy, Ste C, Gulf Breeze, FL 32563 -

Documents

Name Date
ANNUAL REPORT 2025-02-07
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-04-13
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-03-02
ANNUAL REPORT 2020-04-30
Domestic Profit 2019-04-01

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Date of last update: 02 Aug 2025

Sources: Florida Department of State