Active NPI
Gilliam Solutions Group LLC
- Behavior Analyst
- Orange Park, FL
National Provider Identifier
1841753571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- GILLIAM SOLUTIONS GROUP LLC
- Practice address
- 1335 Kingsley Ave # 2472
Orange Park, FL 32073-4507 - Phone
- (904) 329-0028
- NPI assigned
- Apr 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alysia Gilliam, BCBA
- Title
- Owner
- Phone
- (904) 329-0028
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1335 Kingsley Ave # 2472
Orange Park, FL 32073-4507
Mailing address
1335 Kingsley Ave # 2472
Orange Park, FL 32073-4507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019773100 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hello@alysiagilliam.com | Direct |
National Provider Directory
National Provider DirectoryLocations
1335 Kingsley Ave
#2472
Orange Park, FL 32073
Phone (904) 329-0028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554854400000",
"number": "1841753571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 KINGSLEY AVE # 2472",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 KINGSLEY AVE # 2472",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734507",
"telephone_number": "904-329-0028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILLIAM SOLUTIONS GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-10",
"last_updated": "2019-04-10",
"status": "A",
"authorized_official_last_name": "GILLIAM",
"authorized_official_first_name": "ALYSIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-329-0028",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019773100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hello@alysiagilliam.com",
"affiliation": "N",
"endpointDescription": "Admin Email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1335 Kingsley Ave # 2472",
"city": "Orange Park",
"state": "FL",
"country_code": "US",
"postal_code": "320734507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.