MEDICARE: MONARCH BEHAVIORAL THERAPY BII, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	235Z00000X	Speech-Language Pathologist
3	106S00000X	Behavior Technician
4	225X00000X	Occupational Therapist
5	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1265310999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONARCH BEHAVIORAL THERAPY BII, LLC

Provider Business Mailing Address
First Line	:	15851 DALLAS PKWY STE 1150
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-3325
Country	:	US
Telephone Number	:	855-782-7822
Fax Number	:

Provider Business Practice Location Address
First Line	:	12120 PLUM ORCHARD DR STE 145
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7801
Country	:	US
Telephone Number	:	855-782-7822
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	CARLA EDWARDS
Credential	:
Telephone Number	:	855-782-7822

Provider Enumeration Date	:	08/21/2025
Last Update Date	:	08/21/2025

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