Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shawn Gabriel Tan, CTRS

Individual provider Behavior Technician · NPI 1912613951

Shawn Gabriel Tan, CTRS is a Behavior Technician in Rexburg, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2023
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Practice location Address checks out

166 N 5th W Apt E3
Rexburg, ID 83440-1449
Phone: (801) 735-5457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (ID)

Record details

NPI number1912613951
Entity typeIndividual (Type 1)
GenderMale
Credentials CTRS
Sole proprietorYes
NPI enumeratedJanuary 24, 2023
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 23, 2023

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