NPI Code Details Logo

NPI 1255251666

NPI 1255251666 : MONARCH BEHAVIORAL THERAPY BII, LLC : FREDERICK, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1255251666
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MONARCH BEHAVIORAL THERAPY BII, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/16/2026
-----------------------------------------------------
    Last Update Date     |    07/16/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5340 SPECTRUM DR STE A 
-----------------------------------------------------
    City                 |    FREDERICK
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21703-7357
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    855-782-7822
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2400 DALLAS PKWY STE 400 
-----------------------------------------------------
    City                 |    PLANO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75093-4381
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    855-782-7822
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHIEF CLINICAL OFFICER
-----------------------------------------------------
    Name                 |     CARLA  EDWARDS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    855-782-7822
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.