Provider Demographics
NPI:1437902293
Name:MONARCH LEARNING, LLC
Entity Type:Organization
Organization Name:MONARCH LEARNING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CHIEF CLINICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:ROBIN
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LBA
Authorized Official - Phone:949-525-5659
Mailing Address - Street 1:332 NW 58TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-1004
Mailing Address - Country:US
Mailing Address - Phone:949-525-5659
Mailing Address - Fax:
Practice Address - Street 1:644 SW COAST HWY STE 202
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-5064
Practice Address - Country:US
Practice Address - Phone:949-525-5659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty