| Entity Name: | PALM BEACH BEHAVIORAL CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Dec 2021 (3 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 04 Oct 2022 (2 years ago) |
| Document Number: | P21000105689 |
| FEI/EIN Number | 87-4196287 |
| Address: | 6295 LAKE WORTH RD, GREENACRES, FL, 33463, US |
| Mail Address: | 6295 LAKE WORTH RD, GREENACRES, FL, 33463, US |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144919408 | 2023-05-03 | 2023-05-05 | 3898 VIA POINCIANA STE 15, LAKE WORTH, FL, 334672951, US | 3898 VIA POINCIANA STE 15, LAKE WORTH, FL, 334672951, US | |||||||||||||||
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| Phone | +1 561-508-6150 |
| Fax | 5614312208 |
Authorized person
| Name | MARLENYS PEREZ |
| Role | CEO |
| Phone | 5615086150 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ CAMARGO MARLENYS | Agent | 3026 CAROL AVE, LAKE WORTH, FL, 33461 |
| Name | Role | Address |
|---|---|---|
| PEREZ CAMARGO MARLENYS | Vice President | 3026 CAROL AVE, LAKE WORTH, FL, 33461 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ YORDANY | President | 3026 CAROL AVE, LAKE WORTH, FL, 33461 |
| Name | Role | Address |
|---|---|---|
| GARCIA YANELYS | Officer | 21741 SW 98TH PL, CUTLER BAY, FL, 33190 |
| Name | Role | Address |
|---|---|---|
| PADRON YANET | Treasurer | 3340 LAKE AVE, WEST PALM BEACH, FL, 33405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-12 | 6295 LAKE WORTH RD, SUITE #40, GREENACRES, FL 33463 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-12 | 6295 LAKE WORTH RD, SUITE #40, GREENACRES, FL 33463 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-12 | 3026 CAROL AVE, LAKE WORTH, FL 33461 | No data |
| AMENDMENT | 2022-10-04 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-01-30 |
| Amendment | 2022-10-04 |
| Domestic Profit | 2021-12-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
