Individual provider · Type 1 NPI

Gloria Leyla Fanning Tacoaman

Behavior Analyst · Wilmington, MA

NPI number 1053921114 Active

Practice location

60 Concord St Ste 1
Wilmington, MA 01887-2179

Call (781) 694-8787 Map

Mailing address

41 Pacella Park Dr
Randolph, MA 02368-1755

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Behavior Analyst Primary 103K00000XLABA10000079 (MA)

Behavior Analyst: 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…

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About NPI 1053921114

Gloria Leyla Fanning Tacoaman's National Provider Identifier is 1053921114, issued on Aug 4, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Wilmington, MA. The record was last updated on May 9, 2023.