| Entity Name: | HOPE CENTER FOR BEHAVIOR CHANGE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Jun 2022 (3 years ago) |
| Document Number: | P22000045584 |
| FEI/EIN Number | 88-2594846 |
| Address: | 8198 S Jog Rd Suite 204F, Boynton Beach, FL, 33472, US |
| Mail Address: | 8198 s Jog Rd, Boynton Beach, FL, 33472, US |
| ZIP code: | 33472 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922738798 | 2022-06-14 | 2024-06-19 | 8198 S JOG RD STE 204F, BOYNTON BEACH, FL, 334726903, US | 8198 S JOG RD STE 204F, BOYNTON BEACH, FL, 334726903, US | |||||||||||||||||||||
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| Phone | +1 561-337-8865 |
| Fax | 5617836277 |
Authorized person
| Name | AISHA ALBRIGHT-JOURDAN |
| Role | CLINICAL DIRECTOR |
| Phone | 5618432477 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 112770700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALBRIGHT-JOURDAN AISHA C | Agent | 312 JACKSON AVENUE, GREENACRES, FL, 33463 |
| Name | Role | Address |
|---|---|---|
| ALBRIGHT-JOURDAN AISHA | President | 312 JACKSON AVENUE, GREENACRES, FL, 33463 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-08-08 | 8198 S Jog Rd Suite 204F, Boynton Beach, FL 33472 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-12 | 8198 S Jog Rd Suite 204F, Boynton Beach, FL 33472 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-08 |
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-03-19 |
| Domestic Profit | 2022-06-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
