Active NPI
Monarch Behavioral Care, LLC
- Behavior Analyst
- O'Fallon, IL
National Provider Identifier
1366811879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- MONARCH BEHAVIORAL CARE, LLC
- Practice address
- 784 Wall St
100J
O Fallon, IL 62269-1959 - Phone
- (715) 703-0573
- NPI assigned
- Sep 15, 2015
- Last updated
- Sep 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Autumn Nicole McKeel, PH. D., BCBA-D
- Title
- Owner
- Phone
- (715) 703-0573
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
784 Wall St
100J
O Fallon, IL 62269-1959
Mailing address
1636 N Wells St
Apt 2609
Chicago, IL 60614-6037
Phone (715) 703-0573
National Provider Directory
National Provider Directory- Tax ID family
- ABA Consultation in-Home Therapy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Carbondale, IL
- NPI 1780944355
Locations
784 Wall St
Ste 100J
O Fallon, IL 62269
Phone (715) 703-0573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442275200000",
"number": "1366811879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1636 N WELLS ST",
"address_2": "APT 2609",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146037",
"telephone_number": "715-703-0573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "784 WALL ST",
"address_2": "100J",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691959",
"telephone_number": "715-703-0573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONARCH BEHAVIORAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-15",
"last_updated": "2015-09-15",
"status": "A",
"authorized_official_last_name": "MCKEEL",
"authorized_official_first_name": "AUTUMN",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "715-703-0573",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH. D., BCBA-D"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O'Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.