Malik Tait

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

11602 Lake Underhill Rd Ste 129
Orlando, FL 32825-4460

Phone

(407) 277-5400

Fax

(321) 281-4959

NPI assigned

Jul 27, 2021

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1811660814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 CARAMELLA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298275",
            "telephone_number": "904-729-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 LAKE UNDERHILL RD STE 129",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254460",
            "telephone_number": "407-277-5400",
            "fax_number": "321-281-4959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1516 E Colonial Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328034732",
            "country_code": "US",
            "telephone_number": "407-454-1760",
            "fax_number": "407-641-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAIT",
        "first_name": "MALIK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amisha Tailor, PHARMD
• Dharmesh Tailor, MD
• Ou Taing, PHARMD
• Robert E Tainsh, MD, MPH
• Laura Frances Tait, M.D.
• Earl Paul Taitt Jr., MD
• Taka Health LLC
• Take Care Health Services PA
• Hany Magdy Takla, M.D, MRCS
• Britley E Takovich-Linzer, DO

• 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 Nov 18, 2022; 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.