| Entity Name: | PROGRESSIVE BEHAVIOR, CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Sep 2020 (4 years ago) |
| Document Number: | P20000074917 |
| FEI/EIN Number | 85-3476605 |
| Address: | 500 NW 36TH ST, 601, MIAMI, FL, 33127, US |
| Mail Address: | 500 NW 36TH ST, 601, MIAMI, FL, 33127, US |
| ZIP code: | 33127 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639841364 | 2021-09-30 | 2021-09-30 | 500 NW 36TH ST APT 601, MIAMI, FL, 331273146, US | 500 NW 36TH ST APT 601, MIAMI, FL, 331273146, US | |||||||||||||||||||
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| Phone | +1 786-806-3158 |
Authorized person
| Name | CAMILA M DELGADO MOLINA |
| Role | RBT |
| Phone | 7868063158 |
Taxonomy
| Taxonomy Code | 106S00000X - Behavior Technician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 107864500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DELGADO CAMILA C | Agent | 500 NW 36TH ST, MIAMI, FL, 33127 |
| Name | Role | Address |
|---|---|---|
| DELGADO CAMILA | President | 500 NW 36TH ST APT 601, MIAMI, FL, 33127 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-17 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-20 |
| Domestic Profit | 2020-09-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
