Provider Demographics
NPI:1043456296
Name:MONARCH BEHAVIORAL THERAPY BII, LLC
Entity Type:Organization
Organization Name:MONARCH BEHAVIORAL THERAPY BII, LLC
Other - Org Name:BEHAVIORAL INNOVATIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-782-7822
Mailing Address - Street 1:3100 PREMIER DR
Mailing Address - Street 2:SUITE 234
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-2661
Mailing Address - Country:US
Mailing Address - Phone:972-756-1222
Mailing Address - Fax:469-374-0800
Practice Address - Street 1:14131 MIDWAY RD STE 800
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-3627
Practice Address - Country:US
Practice Address - Phone:855-782-7822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty