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UNIQUE BEHAVIORAL PRACTICE CORP.

Company Details

Entity Name: UNIQUE BEHAVIORAL PRACTICE CORP.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 17 Jun 2024 (7 months ago)
Document Number: P24000041494
FEI/EIN Number 99-3594804
Address: 3620 COLONIAL BLVD, 110, FORT MYERS, FL 33966
Mail Address: 3620 COLONIAL BLVD, 110, FORT MYERS, FL 33966
ZIP code: 33966
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942045075 2024-06-29 2024-06-29 3620 COLONIAL BLVD STE 110, FORT MYERS, FL, 339661066, US 3620 COLONIAL BLVD STE 110, FORT MYERS, FL, 339661066, US

Contacts

Phone +1 561-543-7896

Authorized person

Name YENNY PI SAGION
Role PRESIDENT
Phone 5615437896

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
PI SAGION, YENNY, P Agent 3620 COLONIAL BLVD, 110, FORT MYERS, FL 33966

President

Name Role Address
PI SAGION, YENNY President 3620 COLONIAL BLVD, SUITE 110, FORT MYERS, FL 33966

Documents

Name Date
Domestic Profit 2024-06-17

Date of last update: 07 Jan 2025

Sources: Florida Department of State