Organization
MONARCH DEVELOPMENT CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHIDHRA S POOLE LCSW (ADMINISTRATOR)
(804) 551-7363
Entity
Organization
Contact information
Practice address
109 PICKWICK AVE, COLONIAL HEIGHTS, VA 23834-3456
(804) 225-0749
(804) 225-0753
Mailing address
17 DAHLGREN RD, RICHMOND, VA 23238-6103
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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