Healthcare Provider Details

I. General information

NPI: 1801260229
Provider Name (Legal Business Name): MONARCH BEHAVIOR SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2015
Last Update Date: 11/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7340 SOMBRILLA AVE
ATASCADERO CA
93422-7621
US

IV. Provider business mailing address

7340 SOMBRILLA AVE
ATASCADERO CA
93422-7621
US

V. Phone/Fax

Practice location:
  • Phone: 805-610-1998
  • Fax:
Mailing address:
  • Phone: 805-610-1998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LINDSEY REIFINGER
Title or Position: DIRECTOR/OWNER
Credential: BCBA
Phone: 805-610-1998