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Idaho Behavior Change LLC

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Company Details

Name: Idaho Behavior Change LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 01 May 2017 (8 years ago)
Financial Date End: 31 May 2023
Date dissolved: 04 Aug 2023
Entity Number: 552180
Place of Formation: IDAHO
File Number: 552180
ZIP code: 83702
County: Ada County
Principal Address: 2525 W DAVIS ST BOISE, ID 83702
Mailing Address: 2525 W DAVIS ST BOISE, ID 83702-2222

Agent

Name Role Address
MARGARET IMLAY Agent 2525 W DAVIS ST, BOISE, ID 83702

Member

Name Role Address Appointed On
Margaret Imlay Member 2525 W DAVIS ST, BOISE, ID 83702 2021-06-15

Manager

Name Role Address Appointed On
Maggie E Imlay Manager 2525 W DAVIS ST, BOISE, ID 83702 2022-08-06

National Provider Identifier

NPI Number:
1154892065

Authorized Person:

Name:
MRS. MARGARET IMLAY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
103K00000X - Behavior Analyst
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005349034 2023-08-04
Application for Reinstatement 0004851059 2022-08-06
Dissolution/Revocation - Administrative 0004850832 2022-08-06
Annual Report 0004318311 2021-06-15
Annual Report 0003899331 2020-06-04

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State