| Entity Name: | CLOVER BEHAVIOR SERVICES CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 27 Feb 2023 (2 years ago) |
| Document Number: | P23000017443 |
| FEI/EIN Number | 92-2776646 |
| Address: | 12150 SW 128TH CT, SUITE 207, MIAMI, FL 33186 |
| Mail Address: | 12150 SW 128TH CT, SUITE 207, MIAMI, FL 33186 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659072924 | 2023-03-14 | 2023-03-14 | 12150 SW 128TH CT STE 207, MIAMI, FL, 331864667, US | 12150 SW 128TH CT STE 207, MIAMI, FL, 331864667, US | |||||||||||||
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| Phone | +1 305-457-5321 |
Authorized person
| Name | YUDITH VALDES LOPEZ |
| Role | PRESIDENT |
| Phone | 3054575321 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VALDES LOPEZ, YUDITH | Agent | 14551 SW 150TH ST, MIAMI, FL 33186 |
| Name | Role | Address |
|---|---|---|
| VALDES LOPEZ, YUDITH | President | 14551 SW 150TH ST, MIAMI, FL 33186 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-09 |
| Domestic Profit | 2023-02-27 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
