Shangraw, Rex Charles

Shangraw, Rex Charles is an sole proprietor health care provider with primary practice located at 540 W International Airport Rd , Anchorage AK 99518-1105. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Shangraw, Rex Charles can be contacted via phone (907) 433-4789.

Contact Information

Primary practice address
540 W International Airport Rd Anchorage AK 99518-1105
Phone: (907) 433-4789
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1245530757
LBN Legal business name Shangraw, Rex Charles
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2010
Last updated Jun 9th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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