Healthcare Provider Details

I. General information

NPI: 1407575137
Provider Name (Legal Business Name): MONARCH CIRCLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2022
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17170 122ND DR N
JUPITER FL
33478-5203
US

IV. Provider business mailing address

21720 W LONG GROVE RD STE 246
DEER PARK IL
60010-3732
US

V. Phone/Fax

Practice location:
  • Phone: 561-768-4488
  • Fax: 561-766-5038
Mailing address:
  • Phone: 561-768-4488
  • 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 Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MRS. ARIELLE GARCIA
Title or Position: OWNER
Credential: BCBA
Phone: 561-214-1518