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GLORIA LEYLA FANNING TACOAMAN
NPI 1053921114
Behavior Analyst in Wilmington, MA

Active since August 04, 2020
60 CONCORD ST STE 1, WILMINGTON, MA 01887(781) 694-8787 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2023, Aug 4, 2020 (2 updates tracked since 2020).

About Gloria Leyla Fanning Tacoaman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLORIA LEYLA FANNING TACOAMAN (NPI 1053921114) is an individual behavior analyst provider in Wilmington, Massachusetts, licensed in Massachusetts (LABA10000079) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1053921114
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameGLORIA LEYLA FANNING TACOAMAN
Location Address60 CONCORD ST STE 1Wilmington, MA 01887-2179
Mailing Address41 Pacella Park DrRandolph, MA 02368-1755 · (781) 437-0791
Phone(781) 694-8787
Sole ProprietorNo
Enumeration DateAugust 4, 2020
Last NPPES UpdateMay 9, 20232 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1053921114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MA · LABA10000079
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
60 CONCORD ST STE 1, Wilmington, MA 01887
Open in Google Maps ↗

Other Identifiers 1

Medicaid110026265EMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINA R TORRES
Behavior Technician
60 CONCORD ST STE 1
WILMINGTON, MA 01887
Middlesex County (781) 694-8787
MATTHEW R COYLE
Counselor (Mental Health)
60 CONCORD ST STE 1
WILMINGTON, MA 01887
Middlesex County (781) 440-0400
JASMINE A NGUYEN
Behavior Technician
60 CONCORD ST STE 1
WILMINGTON, MA 01887
Middlesex County (781) 694-8787
EMILY P BONE
Behavior Technician
60 CONCORD ST STE 1
WILMINGTON, MA 01887
Middlesex County (781) 694-8787
JULIE A FIORE
Counselor (Mental Health)
60 CONCORD ST STE 1
WILMINGTON, MA 01887
Middlesex County (781) 694-8787
MICHELLE C JANIAK
Counselor (Mental Health)
60 CONCORD ST STE 1
WILMINGTON, MA 01887
Middlesex County (781) 440-0400
MACIA W LETSKY
Counselor (Mental Health)
60 CONCORD ST STE 1
WILMINGTON, MA 01887
Middlesex County (781) 440-0400
MOLLY R JAGODA
Counselor (Mental Health)
60 CONCORD ST STE 1
WILMINGTON, MA 01887
Middlesex County (781) 440-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gloria Fanning Tacoaman's NPI number?

The NPI number for Gloria Fanning Tacoaman is 1053921114. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Where is Gloria Fanning Tacoaman located?

Gloria Fanning Tacoaman practices at 60 Concord St Ste 1, Wilmington, MA 01887. The listed phone number is (781) 694-8787.

What is Gloria Fanning Tacoaman's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Gloria Fanning Tacoaman accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Gloria Fanning Tacoaman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gloria Fanning Tacoaman was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.