Gloria L Fanning Tacoaman
Behavior Analyst in Wilmington, Massachusetts
1053921114- Practice location
- 60 Concord St Ste 1, Wilmington, MA 01887-2179
- Phone
- 781-694-8787
- Fax
- —
- Last updated
- May 9, 2023
Gloria Leyla Fanning Tacoaman is a Behavior Analyst based in Wilmington, MA. Gloria Leyla Fanning Tacoaman practices in Wilmington, MA. The NPI Number for Gloria Leyla Fanning Tacoaman is 1053921114 and holds a License No. LABA10000079 (MA). The current practice location address for Gloria Leyla Fanning Tacoaman is 60 Concord St Ste 1, Wilmington, MA 01887-2179 and can be reached out via phone at 781-694-8787.
Provider Profile Details
- NPI Number
- 1053921114
- Provider Name
- Gloria Leyla Fanning Tacoaman
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 60 Concord St Ste 1, Wilmington, MA 01887-2179
- Phone Number
- 781-694-8787
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 4, 2020
- Last Update Date
- May 9, 2023
- Certification Date
- May 9, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 60 Concord St Ste 1
Wilmington, MA 01887-2179 - City
- Wilmington
- State
- Massachusetts
- Zip
- 01887-2179
- Phone Number
- 781-694-8787
Provider Business Mailing Address Details
- Address
- 41 Pacella Park Dr
Randolph, MA 02368-1755 - City
- Randolph
- State
- MA
- Zip
- 02368-1755
- Phone Number
- 781-437-0791
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- LABA10000079
- License State (2)
- MA
- Taxonomy (2)
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Analysts near Wilmington, MA
View all Behavior Analysts in Wilmington →Frequently Asked Questions
What is the NPI number of Gloria L Fanning Tacoaman?
The NPI number of Gloria L Fanning Tacoaman is 1053921114. It was assigned on August 4, 2020 and is currently active in the NPPES registry.
What is the specialty of Gloria L Fanning Tacoaman?
Gloria L Fanning Tacoaman is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number LABA10000079.
Where does Gloria L Fanning Tacoaman practice?
The practice location is 60 Concord St Ste 1, Wilmington, MA 01887-2179. The office can be reached at 781-694-8787 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053921114 directly on the NPPES registry website.