Gloria Leyla Fanning Tacoaman

NPI #1053921114 in Wilmington, Massachusetts

Provider Information

NPI Number: 1053921114
Entity Type: Individual
Name: Gloria Leyla Fanning Tacoaman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 4, 2020
Last Updated: May 9, 2023

Practice Location

Address: 60 CONCORD ST STE 1
City: Wilmington
State: Massachusetts
ZIP Code: 01887-2179
Phone: (781) 694-8787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Behavior Analyst	103K00000X	Primary

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