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BLUEBRIDGE BEHAVIORAL SERVICES, INC.

Company Details

Entity Name: BLUEBRIDGE BEHAVIORAL SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 18 Jan 2024 (a year ago)
Document Number: P24000005405
FEI/EIN Number 99-0913540
Address: 7430 SW 41st Street Suite 201, MIAMI, FL 33155
Mail Address: 16543 SW 66TH STREET, MIAMI, FL 33193
ZIP code: 33155
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568225944 2024-01-30 2024-04-03 7430 SW 41ST ST STE 201, MIAMI, FL, 331554491, US 7430 SW 41ST ST STE 201, MIAMI, FL, 331554491, US

Contacts

Phone +1 786-656-2477

Authorized person

Name YAHUMARA GENER
Role CEO
Phone 7866562477

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
GENER, YAHUMARA Agent 16543 SW 66TH STREET, MIAMI, FL

President

Name Role Address
GENER, YAHUMARA President 16543 SW 66TH STREET, MIAMI, FL 33193

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-08 7430 SW 41st Street Suite 201, MIAMI, FL 33155 No data

Documents

Name Date
Domestic Profit 2024-01-18

Date of last update: 09 Feb 2025

Sources: Florida Department of State