Healthcare Provider Details

I. General information

NPI: 1063174761
Provider Name (Legal Business Name): MONARCH BEHAVIOR ANALYSIS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2021
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2711 EXCHANGE CT STE A
WEST PALM BEACH FL
33409-4017
US

IV. Provider business mailing address

2711 EXCHANGE CT STE A
WEST PALM BEACH FL
33409-4017
US

V. Phone/Fax

Practice location:
  • Phone: 561-408-3115
  • Fax: 561-425-5658
Mailing address:
  • Phone: 561-408-3115
  • Fax: 561-816-4315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: BEATRIZ ELIZABETH KOURACLES
Title or Position: CLINICAL DIRECTOR
Credential: MBA BCBA LBA
Phone: 617-470-9827