Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tanya Medina Vassallo, MA, LBA, BCBA

Individual provider Behavior Analyst · NPI 1740932508

Tanya Medina Vassallo, MA, LBA, BCBA is a Behavior Analyst in Plymouth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
In the registry since
2022
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

5010 Cheshire Ln N Ste 1
Plymouth, MN 55446-3863
Phone: (612) 439-4650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence LBA0719 (MN)

Record details

NPI number1740932508
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LBA , BCBA
Sole proprietorNo
NPI enumeratedJanuary 24, 2022
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026

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