| Entity Name: | IC BEHAVIOR SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Oct 2022 (2 years ago) |
| Document Number: | P22000081213 |
| FEI/EIN Number | 88-4224863 |
| Address: | 15315 NW 60 Ave, Miami Lakes, FL, 33014, US |
| Mail Address: | 7860 WEST 4 LANE, HIALEAH, FL, 33014 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598463267 | 2023-02-21 | 2023-02-21 | 15315 NW 60TH AVE STE D, MIAMI LAKES, FL, 330142440, US | 15315 NW 60TH AVE STE D, MIAMI LAKES, FL, 330142440, US | |||||||||||||||
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| Phone | +1 786-477-4886 |
| Fax | 3058477704 |
Authorized person
| Name | ILIANA CAMEJO |
| Role | OWNER/APRN |
| Phone | 7864774886 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CAMEJO ILIANA | Agent | 7860 WEST 4 LANE, HIALEAH, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| CAMEJO ILIANA | President | 7860 WEST 4 LANE, HIALEAH, FL, 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-03 | 15315 NW 60 Ave, Suite D, Miami Lakes, FL 33014 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-02-03 |
| Domestic Profit | 2022-10-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
