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DEDICATED INNOVATIVE BEHAVIORAL SUPPORT INC.

Company Details

Entity Name: DEDICATED INNOVATIVE BEHAVIORAL SUPPORT INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 May 2023 (2 years ago)
Document Number: P23000036115
FEI/EIN Number 93-1936440
Address: 1302 Hatch Place, Valrico, FL, 33594, US
Mail Address: 1302 Hatch Place, Valrico, FL, 33594, US
ZIP code: 33594
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235816083 2023-07-03 2023-07-03 14325 TREE SWALLOW WAY, LAKEWOOD RANCH, FL, 342028296, US 14325 TREE SWALLOW WAY, LAKEWOOD RANCH, FL, 342028296, US

Contacts

Phone +1 813-315-5031

Authorized person

Name JOSHUA KINGSTON
Role OWNER
Phone 8133155031

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
KINGSTON JOSHUA M Agent 1302 Hatch Place, Valrico, FL, 33594

President

Name Role Address
KINGSTON JOSHUA President 1302 Hatch Place, Valrico, FL, 33594

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-07-24 1302 Hatch Place, Valrico, FL 33594 No data
CHANGE OF MAILING ADDRESS 2024-07-24 1302 Hatch Place, Valrico, FL 33594 No data
REGISTERED AGENT ADDRESS CHANGED 2024-07-24 1302 Hatch Place, Valrico, FL 33594 No data

Documents

Name Date
ANNUAL REPORT 2024-07-24
Domestic Profit 2023-05-08

Date of last update: 02 Feb 2025

Sources: Florida Department of State