| LCA CASE NUMBER | I-200-24323-481083 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-11-18 |
| DECISION DATE | 2024-11-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician Assistant |
| SOC CODE | 29-1071 |
| SOC TITLE | Physician Assistants |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-12-22 |
| END DATE | 2027-12-21 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | BestSelf Behavioral Health, Inc. |
| EMPLOYER ADDRESS1 | 899 Main Street |
| EMPLOYER CITY | Buffalo |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14203 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17168420440 |
| EMPLOYER PHONE EXT | 2059 |
| EMPLOYER FEIN | 16-1004090 |
| NAICS CODE | 621330 |
| EMPLOYER POC LAST NAME | Smith-Jordan |
| EMPLOYER POC FIRST NAME | Jessica |
| EMPLOYER POC MIDDLE NAME | B. |
| EMPLOYER POC JOB TITLE | Vice President of Legal and Compliance |
| EMPLOYER POC ADDRESS1 | 899 Main Street |
| EMPLOYER POC CITY | Buffalo |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14203 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17168420440 |
| EMPLOYER POC PHONE EXT | 2059 |
| EMPLOYER POC EMAIL | jsmith01@bestselfwny.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Premo |
| AGENT ATTORNEY FIRST NAME | Kseniya |
| AGENT ATTORNEY ADDRESS1 | One Lincoln Center |
| AGENT ATTORNEY ADDRESS2 | 18th Floor |
| AGENT ATTORNEY CITY | Syracuse |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 13202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13152188171 |
| AGENT ATTORNEY EMAIL ADDRESS | kpremo@bsk.com |
| LAWFIRM NAME BUSINESS NAME | Bond, Schoeneck & King, PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York State Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 951 Niagara Street |
| LCA CASE WORKLOC1 CITY | Buffalo |
| WORKSITE COUNTY | ERIE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14213 |
| LCA CASE WAGE RATE FROM | 109242 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 103626 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |