| Entity Name: | KALEIDOSCOPE BEHAVIOR SERVICES CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 18 Oct 2021 (3 years ago) |
| Document Number: | P21000090416 |
| FEI/EIN Number | 87-2827651 |
| Address: | 4908 RANDEE CIR, PENSACOLA, FL 32526 |
| Mail Address: | 4908 RANDEE CIR, PENSACOLA, FL 32526 |
| ZIP code: | 32526 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790456937 | 2021-09-27 | 2021-09-27 | 4908 RANDEE CIR, PENSACOLA, FL, 325262054, US | 4908 RANDEE CIR, PENSACOLA, FL, 325262054, US | |||||||||||||||||
|
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| Phone | +1 985-413-8127 |
Authorized person
| Name | KELLY LYNN WHITE |
| Role | OWNER |
| Phone | 9854138127 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI1 |
| Number | 1821542473 |
| Name | Role | Address |
|---|---|---|
| WHITE, KELLY | Agent | 4908 RANDEE CIR, PENSACOLA, FL 32526 |
| Name | Role | Address |
|---|---|---|
| WHITE, KELLY | President | 4908 RANDEE CIR, PENSACOLA, FL 32526 |
| Name | Role | Address |
|---|---|---|
| White, brandon | general manager | 4908 RANDEE CIR, PENSACOLA, FL 32526 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-03-25 |
| Domestic Profit | 2021-10-18 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
