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COLLABORATIVE BEHAVIOR SOLUTIONS, LLC

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Company Details

Name: COLLABORATIVE BEHAVIOR SOLUTIONS, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Oct 2015 (10 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 478056
Place of Formation: IDAHO
File Number: 478056
ZIP code: 83814
County: Kootenai County
Principal Address: 2201 N GOVERNMENT WAY B COEUR D'ALENE, ID 83814
Mailing Address: STE B 2201 N GOVERNMENT WAY COEUR D ALENE, ID 83814-3658

Agent

Name Role Address
JENNIFER QUEEN Agent 2201 N GOVERNMENT WAY STE B, COEUR D'ALENE, ID 83814

Manager

Name Role Address Appointed On
Jennifer Queen Manager 2201 N GOVERNMENT WAY, COEUR D ALENE, ID 83814-3658 2020-10-23

National Provider Identifier

NPI Number:
1205388907

Authorized Person:

Name:
JENNIFER EILEEN QUEEN
Role:
CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
8006924150

Filing

Filing Name Filing Number Filing date
Annual Report 0005941472 2024-10-14
Annual Report 0005444313 2023-10-18
Annual Report 0004957214 2022-10-19
Annual Report 0004409415 2021-09-07
Annual Report 0004040681 2020-10-23

Paycheck Protection Program

Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
127315
Current Approval Amount:
127315
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
129114.85

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Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State