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TANYA MEDINA VASSALLO MA, LBA, BCBA
NPI 1740932508
Behavior Analyst in Plymouth, MN

Active since January 24, 2022
5010 CHESHIRE LN N STE 1, PLYMOUTH, MN 55446(612) 439-4650 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2026, Dec 5, 2025, Apr 20, 2022 and 1 more (4 updates tracked since 2022).

About Tanya Medina Vassallo Ma, Lba, Bcba NPPES

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

TANYA MEDINA VASSALLO MA, LBA, BCBA (NPI 1740932508) is an individual behavior analyst provider in Plymouth, Minnesota, licensed in Minnesota (LBA0719) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1740932508
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameTANYA MEDINA VASSALLOCredential: MA, LBA, BCBA
Location Address5010 CHESHIRE LN N STE 1Plymouth, MN 55446-3863
Mailing Address6233 Russell Ave SRichfield, MN 55423-1003
Phone(612) 439-4650
Sole ProprietorNo
Enumeration DateJanuary 24, 2022
Last NPPES UpdateJanuary 8, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1740932508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MN · LBA0719
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.
5010 CHESHIRE LN N STE 1, Plymouth, MN 55446
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES 4

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

ASHLEY MICHELLE AMARAL MERINO
Behavior Technician
5010 CHESHIRE LN N STE 1
PLYMOUTH, MN 55446
Hennepin County (612) 439-4650
MAKENNA HECKSEL
Behavior Technician
5010 CHESHIRE LN N STE 1
PLYMOUTH, MN 55446
Hennepin County (612) 439-4650
CHLOE CHRISTINE BECKER
Behavior Technician
5010 CHESHIRE LN N STE 1
PLYMOUTH, MN 55446
Hennepin County (612) 445-8316
MIKENNA MARIE MORK MA, BCBA, LBA
Behavior Analyst
5010 CHESHIRE LN N STE 1
PLYMOUTH, MN 55446
Hennepin County (507) 353-3012

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 Tanya Vassallo's NPI number?

The NPI number for Tanya Vassallo is 1740932508. It was assigned to this individual provider in the NPPES registry on January 24, 2022.

Where is Tanya Vassallo located?

Tanya Vassallo practices at 5010 Cheshire Ln N Ste 1, Plymouth, MN 55446. The listed phone number is (612) 439-4650.

What is Tanya Vassallo's specialty?

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

What insurance does Tanya Vassallo accept?

Health plans from Sanford Health Plan list Tanya Vassallo 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 Tanya Vassallo was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.