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MY BEHAVIORAL THERAPY INC

Company Details

Entity Name: MY BEHAVIORAL THERAPY INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Sep 2023 (a year ago)
Document Number: P23000065855
FEI/EIN Number 933347432
Address: 3105 NW 107 Ave Suite 400 M9, Doral, FL, 33172, US
Mail Address: 3105 NW 107 Ave Suite 400 M9, Doral, FL, 33172, US
ZIP code: 33172
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073391868 2023-09-21 2023-09-28 11435 SW 52ND ST, MIAMI, FL, 331656801, US 3105 NW 107TH AVE STE 400, DORAL, FL, 331722215, US

Contacts

Phone +1 786-412-1325

Authorized person

Name HARVEY GONZALEZ
Role CEO
Phone 7864121325

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role
SOUTH FLORIDA BUSINESS ASSOCIATION, INC Agent

Chief Executive Officer

Name Role Address
GONZALEZ HARVEY Chief Executive Officer 11435 SW 52 STREET, MIAMI, FL, 33165

Chief Financial Officer

Name Role Address
DIAZ ANDRES Chief Financial Officer 17690 SW 41 St, Miramar, FL, 33029

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-10-25 3105 NW 107 Ave Suite 400 M9, Doral, FL 33172 No data
CHANGE OF MAILING ADDRESS 2023-10-25 3105 NW 107 Ave Suite 400 M9, Doral, FL 33172 No data

Documents

Name Date
ANNUAL REPORT 2024-01-24
Domestic Profit 2023-09-12

Date of last update: 02 Feb 2025

Sources: Florida Department of State