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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANTONINA IVANOVNA SHANGRAW, PHD, BCBA-D

Active Sole Proprietor

ANTONINA IVANOVNA SHANGRAW, PHD, BCBA-D is a Behavior Analyst healthcare provider located in CORTEZ, Colorado. NPI 1447595129 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · CORTEZ, CO

Registration Details

NPI Number
1447595129
Provider Type
Individual
Gender
Female
NPI Issued
Dec 6, 2012 (13.502865872389 yrs)
Last Updated
Nov 3, 2021
Sole Proprietor
Yes

Practice Information

Address
23 S BEECH ST # B102
CORTEZ, CO, 813213751
Browse CO providers · Browse ZIP 81321
Phone
9709461539
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in CORTEZ, CO

Name Credential NPI
MISS KAREN ANN CHANDA EARLY INTERVENTION 1043452006
MARK HOLTON BCBA, LPC 1770879850
NATASHA BOUCHILLON 1750733168
DEVON N PARSON 1194296871
KAITLYN J CUMMINGS 1841764859
CARA KROPP 1891352480
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.