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FAMILY BEHAVIOR SOLUTIONS INC

Company Details

Name: FAMILY BEHAVIOR SOLUTIONS INC
Jurisdiction: Rhode Island
Entity type: Foreign Corporation
Status: Activ
Date of Organization in Rhode Island: 11 May 2021 (4 years ago)
Identification Number: 001723860
ZIP code: 02916
County: Providence County
Place of Formation: MASSACHUSETTS
Principal Address: 225 NEWMAN AVENUE, RUMFORD, RI, 02916, USA
Purpose: BEHAVIORAL HEALTH- PROVIDE IN CLINIC, SCHOOL, AND HOME-BASED SERVICES TO CHILDREN WITH DEVELOPMENTAL DISABILITIES.
NAICS: 621330 - Offices of Mental Health Practitioners (except Physicians)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700287638 2014-09-10 2023-10-03 145 GREENWOOD AVE, RUMFORD, RI, 029161920, US 225 NEWMAN AVE, RUMFORD, RI, 029161218, US

Contacts

Phone +1 401-265-7961

Authorized person

Name NICOLE QUIGLEY
Role EXECUTIVE DIRECTOR
Phone 4012657961

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary No
Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
License Number 1118377
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY BEHAVIOR SOLUTIONS INC. 401K PLAN 2023 471498228 2024-06-28 FAMILY BEHAVIOR SOLUTIONS INC. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 624100
Sponsor’s telephone number 4012707110
Plan sponsor’s address 6 N. MAIN STREET SUITE 305, RUMFORD, RI, 02916

Signature of

Role Plan administrator
Date 2024-06-28
Name of individual signing NICOLE QUIGLEY
Valid signature Filed with authorized/valid electronic signature
FAMILY BEHAVIOR SOLUTIONS INC. 401K PLAN 2023 471498228 2024-06-28 FAMILY BEHAVIOR SOLUTIONS INC. 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 624100
Sponsor’s telephone number 4012707110
Plan sponsor’s address 6 N. MAIN STREET SUITE 305, RUMFORD, RI, 02916

Signature of

Role Plan administrator
Date 2024-06-28
Name of individual signing NICOLE QUIGLEY
Valid signature Filed with authorized/valid electronic signature
FAMILY BEHAVIOR SOLUTIONS INC. 401K PLAN 2022 471498228 2023-10-04 FAMILY BEHAVIOR SOLUTIONS INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 624100
Sponsor’s telephone number 4012707110
Plan sponsor’s address 6 N. MAIN STREET SUITE 305, RUMFORD, RI, 02916

Signature of

Role Plan administrator
Date 2023-10-04
Name of individual signing NICOLE QUIGLEY
Valid signature Filed with authorized/valid electronic signature
FAMILY BEHAVIOR SOLUTIONS INC. 401K PLAN 2021 471498228 2022-10-17 FAMILY BEHAVIOR SOLUTIONS INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 624100
Sponsor’s telephone number 4012707110
Plan sponsor’s address 6 N MAIN STREET SUITE 305, RUMFORD, RI, 02916

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing NICOLE QUIGLEY
Valid signature Filed with authorized/valid electronic signature
FAMILY BEHAVIOR SOLUTIONS INC. 401K PLAN 2020 471498228 2021-09-21 FAMILY BEHAVIOR SOLUTIONS INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 624100
Sponsor’s telephone number 4012707110
Plan sponsor’s address 6 N. MAIN STREET SUITE 305, RUMFORD, RI, 02916

Signature of

Role Plan administrator
Date 2021-09-21
Name of individual signing NICOLE QUIGLEY
Valid signature Filed with authorized/valid electronic signature
FAMILY BEHAVIOR SOLUTIONS INC. 401K PLAN 2019 471498228 2020-09-23 FAMILY BEHAVIOR SOLUTIONS INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 624100
Sponsor’s telephone number 4012707110
Plan sponsor’s address 6 N. MAIN STREET SUITE 305, RUMFORD, RI, 02916

Signature of

Role Plan administrator
Date 2020-09-23
Name of individual signing NICOLE QUIGLEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
NICOLE QUIGLEY Agent 21 BEAUMONT STREET, RUMFORD, RI, 02916, USA

PRESIDENT

Name Role Address
NICOLE QUIGLEY PRESIDENT 21 BEAUMONT STREET RUMFORD, RI 02916 USA

Filings

Number Name File Date
202444933450 Annual Report 2024-01-29
202336365820 Annual Report 2023-05-30
202217238300 Annual Report 2022-05-04
202196531030 Application for Certificate of Authority 2021-05-11

Date of last update: 28 Oct 2024

Sources: Rhode Island Department of State