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General NPI Number Information
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NPI Number | 1245860980
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Entity Type | Individual
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Provider Name | GIALYS AILEMA LUIS BCBA
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Gender | Female
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 45 KINGS COLONY CT
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City | PALM COAST
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State | FL
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Zip | 32137-4438
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Country | US
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Telephone | 305-310-9486
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Fax |
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Provider Business Mailing Address
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Address Line | 45 KINGS COLONY CT
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City | PALM COAST
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State | FL
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Zip | 32137-4438
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Country | US
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Telephone | 305-310-9486
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-19-105788
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 3338
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-25-79578
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | NC
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