Shawn Gabriel Tan, CTRS

NPI #1912613951 in Rexburg, Idaho

Provider Information

NPI Number: 1912613951
Entity Type: Individual
Name: Shawn Gabriel Tan, CTRS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: CTRS
Enumeration Date: Jan 24, 2023
Last Updated: Jan 24, 2023

Practice Location

Address: 166 N 5TH W APT E3
City: Rexburg
State: Idaho
ZIP Code: 83440-1449
Phone: (801) 735-5457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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