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NPI Code Detail

MEDICARE: MONARCH BEHAVIORAL THERAPY BII, LLC

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 License Number License Number State
1106S00000XBehavior Technician
2225X00000XOccupational Therapist
3235Z00000XSpeech-Language Pathologist
4251S00000XCommunity/Behavioral Health Agency
5103K00000XBehavior Analyst

General Provider Information

NPI Number : 1043456296
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 : 3100 PREMIER DR STE 234
Second Line :
City : IRVING
State : TX
Zip : 75063-2693
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 : 12/17/2008
Last Update Date : 05/27/2025

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