TANYA MEDINA VASSALLO (MA, LBA, BCBA) – Behavior Analyst, NPI 1740932508

TANYA MEDINA VASSALLO (MA, LBA, BCBA) is a healthcare provider. based in Robbinsdale, Minnesota. specializing in Behavior Analyst. They hold the professional credentials MA, LBA, BCBA. They hold a License No. LBA0719 (MN). The NPI Number for TANYA MEDINA VASSALLO (MA, LBA, BCBA) is 1740932508

Main info

Female
Name
TANYA MEDINA VASSALLO (MA, LBA, BCBA)
NPI
1740932508
Phone
Not provided
Address
3200 GRIMES AVE N
Enumeration Date
24 January 2022
Last Update Date
8 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:4State licenses:1Digital endpointsOther names

Provider Addresses for TANYA MEDINA VASSALLO (MA, LBA, BCBA)

  • 3200 GRIMES AVE N

    ROBBINSDALE, MN 554223219

    Phone:

    Type: Mailing

  • 3007 HARBOR LN N STE 1200

    PLYMOUTH, MN 554475103

    Phone: (612) 439-4650

    Type: Location

  • 6233 RUSSELL AVE S

    RICHFIELD, MN 554231003

    Phone:

    Type: Mailing

  • 5010 CHESHIRE LN N STE 1

    PLYMOUTH, MN 554463863

    Phone: (612) 439-4650

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55422)

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Reviews

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Frequently asked questions

Does TANYA MEDINA VASSALLO (MA, LBA, BCBA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TANYA MEDINA VASSALLO (MA, LBA, BCBA) uses 1740932508.
Can I rely on TANYA MEDINA VASSALLO (MA, LBA, BCBA) being an active provider?
As of the registry snapshot, TANYA MEDINA VASSALLO (MA, LBA, BCBA) is marked active.
What is TANYA MEDINA VASSALLO (MA, LBA, BCBA)'s primary classification?
Behavior Analyst is the headline specialty for TANYA MEDINA VASSALLO (MA, LBA, BCBA) here. Clinical services aligned with this taxonomy classification.
Where is TANYA MEDINA VASSALLO (MA, LBA, BCBA) based?
TANYA MEDINA VASSALLO (MA, LBA, BCBA) is tied to Robbinsdale, Minnesota in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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