| Entity Name: | CHANGING LIVES BEHAVIORAL SUPPORT CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 10 Jul 2024 (7 months ago) |
| Document Number: | P24000046052 |
| FEI/EIN Number | 99-3979551 |
| Address: | 175 FONTAINEBLEAU BLVD, STE 2J1A, MIAMI, FL 33172 |
| Mail Address: | 175 FONTAINEBLEAU BLVD, STE 2J1A, MIAMI, FL 33172 |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932947280 | 2024-07-18 | 2024-07-18 | 175 FONTAINEBLEAU BLVD STE 2J1A, MIAMI, FL, 331727017, US | 175 FONTAINEBLEAU BLVD STE 2J1A, MIAMI, FL, 331727017, US | |||||||||||||||
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| Phone | +1 305-590-1085 |
| Fax | 2079555251 |
Authorized person
| Name | DAYNELL SANTANA ECHEVARRIA |
| Role | PRESIDENT |
| Phone | 3465584018 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SANTANA ECHEVARRIA, DAYNELL | Agent | 10446 SW 227TH TER, CUTLER BAY, FL 33190 |
| Name | Role | Address |
|---|---|---|
| SANTANA ECHEVARRIA, DAYNELL | President | 10446 SW 227TH TER, CUTLER BAY, FL 33190 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-07-10 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
