| Entity Name: | ENERGY BEHAVIORAL THERAPY CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Aug 2022 (3 years ago) |
| Document Number: | P22000061568 |
| FEI/EIN Number | 88-3585117 |
| Address: | 111 SW 113 AVE, APT 104-8, MIAMI, FL 33174 |
| Mail Address: | 111 SW 113 AVE, APT 104-8, MIAMI, FL 33174 |
| ZIP code: | 33174 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194437202 | 2022-12-20 | 2022-12-20 | 1701 SE TIFFANY AVE STE 102, PORT ST LUCIE, FL, 349527576, US | 1701 SE TIFFANY AVE STE 102, PORT ST LUCIE, FL, 349527576, US | |||||||||||||
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| Phone | +1 786-227-2966 |
Authorized person
| Name | ERNESTO RODRIGUEZ TANQUERO |
| Role | PRESIDENT |
| Phone | 7862272966 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ TANQUERO, ERNESTO | Agent | 111 SW 113 AVE, APT 104-8, MIAMI, FL 33174 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ TANQUERO, ERNESTO | President | 111 SW 113 AVE APT 104-8, MIAMI, FL 33174 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-17 |
| Domestic Profit | 2022-08-03 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
