P Praxis·MD
● Active Type 1 · Individual

Shawn Gabriel Tan, CTRS

Behavior Technician·Rexburg, ID· NPI 1912613951 · Enumerated 2023 · 3 years on NPI
Tan is 1 of 28 behavior technician providers in Rexburg and 1 of 1155 in Idaho.
NPI age
3 years
Enumerated 2023-01-24
Primary specialty
Behavior Technician
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-01-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1155 active behavior technician providers in Idaho.

NPI age
3 years
≈ at median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
3% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-01Enumerated in NPPES
2023 2026

Where they practice

Practice location
166 N 5th W Apt E3
Rexburg, ID 834401449
📞 8017355457
Mailing address
166 N 5th W Apt E3
Rexburg, ID 834401449
📞 8017355457

Specialties

  • Behavior Technician Primary
    The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state...
    taxonomy 106S00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new behavior technician provider has been added in Rexburg in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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