| Name: | Magnolia Behavior Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 May 2021 (4 years ago) |
| Entity Number: | 000-851-975 |
| Register Number: | 000851975 |
| ZIP code: | 36518 |
| County: | Washington |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 17257 JORDAN STREETCHATOM, AL 36518 |
| Registered Office Mailing Address: | PO Box 415CHATOM, AL 36518 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053994285 | 2021-05-05 | 2023-08-25 | PO BOX 415, CHATOM, AL, 365180415, US | 13551 SAINT STEPHENS AVE, CHATOM, AL, 36518, US | |||||||||||||||
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| Phone | +1 205-919-2517 |
| Fax | 2518473080 |
Authorized person
| Name | MRS. CRISTIE SHALEIGH GILES |
| Role | BCBA |
| Phone | 2059192517 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Giles, Crisite S | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
