| Entity Name: | BEST LIFE BEHAVIOR SUPPORT INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 30 Aug 2022 (2 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 17 Nov 2022 (2 years ago) |
| Document Number: | P22000068312 |
| FEI/EIN Number | 88-4203481 |
| Address: | 15720 SW 139TH AVE, MIAMI, FL 33177 |
| Mail Address: | 15720 SW 139TH AVE, MIAMI, FL 33177 |
| ZIP code: | 33177 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295440105 | 2023-01-16 | 2023-01-16 | 15720 SW 139TH AVE, MIAMI, FL, 331776848, US | 15720 SW 139TH AVE, MIAMI, FL, 331776848, US | |||||||||||||||||||
|
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| Phone | +1 786-440-4655 |
Authorized person
| Name | ESTEFANIA MESA RAMIREZ |
| Role | PRESIDENT |
| Phone | 7864404655 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 21197075 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MESA RAMIREZ, ESTEFANIA | Agent | 15720 SW 139TH AVE, MIAMI, FL 33177 |
| Name | Role | Address |
|---|---|---|
| MESA RAMIREZ, ESTEFANIA | President | 15720 SW 139TH AVE, MIAMI, FL 33177 |
| Name | Role | Address |
|---|---|---|
| FRANCHI ALFARO , LUIS | Vice President | 15720 SW 139TH AVE, MIAMI, FL 33177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-12 | 15720 SW 139TH AVE, MIAMI, FL 33177 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-12 | 15720 SW 139TH AVE, MIAMI, FL 33177 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-12 | 15720 SW 139TH AVE, MIAMI, FL 33177 | No data |
| AMENDMENT | 2022-11-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-28 |
| ANNUAL REPORT | 2024-01-12 |
| ANNUAL REPORT | 2023-01-12 |
| Amendment | 2022-11-17 |
| Domestic Profit | 2022-08-30 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
