Healthcare Provider Details

I. General information

NPI: 1972434686
Provider Name (Legal Business Name): MALENA WHITT BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CENTER ST
LATHROP MO
64465-5510
US

IV. Provider business mailing address

6698 NE SILVIUS RD
TURNEY MO
64493-2603
US

V. Phone/Fax

Practice location:
  • Phone: 816-592-1482
  • Fax:
Mailing address:
  • Phone: 816-592-1482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2024045698
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: