| CASE NUMBER | I-200-24059-754540 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/28/2024 |
| DECISION DATE | 3/6/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Bilingual Clinician |
| SOC CODE | 21-1014.00 |
| SOC TITLE | Mental Health Counselors |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/1/2024 |
| END DATE | 3/1/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | The Devereux Foundation |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 120 Davis Wade Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Victoria |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 77905 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15088864746 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621330 |
| EMPLOYER POC LAST NAME | Tivnan |
| EMPLOYER POC FIRST NAME | David |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | People Operations Director |
| EMPLOYER POC ADDRESS1 | 60 Miles Rd. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Rutland |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1543 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15088864746 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | dtivnan@devereux.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Vartanian |
| AGENT ATTORNEY FIRST NAME | Gregory |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 100 State Street |
| AGENT ATTORNEY ADDRESS2 | Floor 9 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2109 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16175235689 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | greg@vartanianlaw.com |
| LAWFIRM NAME BUSINESS NAME | Vartanian and Vartanian |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 120 David Wade Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Victoria |
| WORKSITE COUNTY | VICTORIA |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 77905 |
| WAGE RATE OF PAY FROM | 72463.8 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $40,768.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Vartanian |
| PREPARER FIRST NAME | Gregory |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Vartanian and Vartanian |
| PREPARER EMAIL | greg@vartanianlaw.com |
| BEGIN DATE CONVERTED | 2024-01-03 |
