1306455043 NPI number — TAYLOR CHRISTINE MONKEN MALACH MABA, BCBA, LBA

Table of content: TAYLOR CHRISTINE MONKEN MALACH MABA, BCBA, LBA (NPI 1306455043)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306455043 NPI number — TAYLOR CHRISTINE MONKEN MALACH MABA, BCBA, LBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MONKEN MALACH
Provider First Name:
TAYLOR
Provider Middle Name:
CHRISTINE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MABA, BCBA, LBA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MONKEN
Provider Other First Name:
TAYLOR
Provider Other Middle Name:
CHRISTINE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MABA, BCBA, LBA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1306455043
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/29/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6712 FLOWERVALE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAZELWOOD
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63042-1708
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
618-334-8713
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1415 ELBRIDGE PAYNE RD STE 1300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHESTERFIELD
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63017-8538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
636-898-2080
Provider Business Practice Location Address Fax Number:
636-898-2082
Provider Enumeration Date:
07/29/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X , with the licence number:  2022026434 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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