NPI 1245530757 · live from the CMS NPI Registry
Rex Charles Shangraw, BCBA
Behavior Analyst in Anchorage, AK. National Provider Identifier 1245530757, active.
NPI record
| NPI | 1245530757 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 540 W International Airport Rd, Anchorage, AK 99518 |
| Practice phone | 907-433-4789 |
| Mailing address | 8130 Peck Ave, Anchorage, AK 99504 |
| Enumerated | October 30, 2010 |
| Last updated | June 9, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.