Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Gloria Leyla Fanning Tacoaman

Behavior Analyst in Wilmington, MA · enumerated 2020.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053921114

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Registry record

Entity type Individual (Type 1)

Name Gloria Leyla Fanning Tacoaman

Sex Female

Practice address 60 Concord St Ste 1, Wilmington, MA, 01887

Phone (781) 694-8787

Enumeration date Aug 4, 2020

Last updated in NPPES May 9, 2023

Taxonomy & licenses

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary

103K00000X Behavior Analyst Behavioral Health & Social Service Providers · License LABA10000079 (MA) Primary

Other identifiers

Identifier	Type	State	Issuer
110026265E	Medicaid	MA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Gloria Fanning Tacoaman?

The National Provider Identifier (NPI) for Gloria Fanning Tacoaman is 1053921114, a Type 1 (individual) record in the CMS NPPES registry.

Where does Gloria Fanning Tacoaman practice?

The practice location on file with NPPES is in Wilmington, MA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-09.