Individual provider Active NPI

Gialys Ailema Luis, BCBA

  • Behavior Analyst
  • Palm Coast, FL
National Provider Identifier
1245860980
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3338 Issued in NC
Practice address
45 Kings Colony CT
Palm Coast, FL 32137-4438
Phone
(305) 310-9486
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-105788 FL
Behavior Analyst 103K00000X 3338 NC Primary
Behavior Analyst 103K00000X 1-25-79578 FL
Behavior Analyst 103K00000X NC

Addresses

Primary practice location

45 Kings Colony CT
Palm Coast, FL 32137-4438

Mailing address

45 Kings Colony CT
Palm Coast, FL 32137-4438
Phone (305) 310-9486

Other practice location 1

16 2nd St NW
Hickory, NC 28601-6105
Phone (828) 358-0976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3338NCMDClinical Psychologist
RBT-19-105788FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehab LLC Behavior Analyst Past Accepting new patients
Complete Rehabilitation and Sports Physical Therapy, PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1245860980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 KINGS COLONY CT",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374438",
            "telephone_number": "305-310-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 KINGS COLONY CT",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374438",
            "telephone_number": "305-310-9486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 2nd St NW",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286016105",
            "country_code": "US",
            "telephone_number": "828-358-0976",
            "fax_number": "828-838-1057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUIS",
        "first_name": "GIALYS",
        "middle_name": "AILEMA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-105788",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "3338",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-79578",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.