MEDICARE: GIALYS AILEMA LUIS BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-19-105788	FL
2	103K00000X	Behavior Analyst	3338	NC
3	103K00000X	Behavior Analyst	1-25-79578	FL
4	103K00000X	Behavior Analyst		NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245860980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIALYS AILEMA LUIS BCBA

Provider Business Mailing Address
First Line	:	45 KINGS COLONY CT
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32137-4438
Country	:	US
Telephone Number	:	305-310-9486
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 KINGS COLONY CT
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32137-4438
Country	:	US
Telephone Number	:	305-310-9486
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2020
Last Update Date	:	09/15/2025

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