Provider Demographics
NPI:1730500380
Name:MONARCH BEHAVIOR ANALYSIS, LLC
Entity Type:Organization
Organization Name:MONARCH BEHAVIOR ANALYSIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST-CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BEATRIZ
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:KOURACLES
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, BCBA, LBA
Authorized Official - Phone:617-470-9827
Mailing Address - Street 1:5180 W ATLANTIC AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8103
Mailing Address - Country:US
Mailing Address - Phone:561-900-5504
Mailing Address - Fax:561-816-4315
Practice Address - Street 1:5180 W ATLANTIC AVE STE 110
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8103
Practice Address - Country:US
Practice Address - Phone:617-470-9827
Practice Address - Fax:561-425-5658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-29
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA272103K00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015377600Medicaid