Malik Whit

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2154 Central Florida Pkwy Ste B2
Orlando, FL 32837-8986

Phone

(636) 368-1117

NPI assigned

Aug 21, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amazing Gains Behavior Therapy Services LLC

  • Early Intervention Provider Agency
  • Orlando, FL
  • NPI 1518488212
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1710534094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 E ILLIANA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065764",
            "telephone_number": "786-564-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 CENTRAL FLORIDA PKWY STE B2",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378986",
            "telephone_number": "636-368-1117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2411 E Illiana St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328065764",
            "country_code": "US",
            "telephone_number": "786-564-3491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHIT",
        "first_name": "MALIK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-21",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Nicole Whilden, PTA
• Seth Whipple, LMHC
• Megan Whisner, M.A., CF-SLP
• Whispering Grace Partners Corporation
• Whispering Wind Emergency Physicians, LLC
• Courtney Whitaker
• Edward Whitaker
• Kerry Whitaker, P.A.
• Titus S Whitaker, LMT
• Pietra Whitby, BT

• Behavior Technician in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.