| CASE NUMBER | I-200-24277-384037 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/3/2024 |
| DECISION DATE | 10/10/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Product Data Analyst II |
| SOC CODE | 15-2051.00 |
| SOC TITLE | Data Scientists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 4/4/2025 |
| END DATE | 4/3/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | SimplePractice, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2834 Colorado Ave. |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Santa Monica |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90404 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18339535902 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 511210 |
| EMPLOYER POC LAST NAME | Mass |
| EMPLOYER POC FIRST NAME | Vika |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Senior Director - People & Culture |
| EMPLOYER POC ADDRESS1 | 2834 Colorado Ave. |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | Santa Monica |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90404 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18339535902 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | vika.mass@simplepractice.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Tievsky |
| AGENT ATTORNEY FIRST NAME | Charles |
| AGENT ATTORNEY MIDDLE NAME | Asher |
| AGENT ATTORNEY ADDRESS1 | 1875 Campus Commons Dr |
| AGENT ATTORNEY ADDRESS2 | Suite 201 |
| AGENT ATTORNEY CITY | Reston |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20191 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | VA |
| AGENT ATTORNEY PHONE | 17037160022 |
| AGENT ATTORNEY PHONE EXT | 111 |
| AGENT ATTORNEY EMAIL ADDRESS | ct@tievskylaw.com |
| LAWFIRM NAME BUSINESS NAME | Tievsky Immigration Law |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Virginia Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 110 Saint Lazare Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Cary |
| WORKSITE COUNTY | WAKE |
| WORKSITE STATE | NC |
| WORKSITE POSTAL CODE | 27513 |
| WAGE RATE OF PAY FROM | $146,744.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $128,253.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-04-04 |
