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Antonina Ivanovna Shangraw, PHD, BCBA-D

NPI 1447595129ActiveIndividual· Behavior Analyst· Cortez, CO

Behavior Analyst (PHD, BCBA-D) in Cortez, Colorado, with an NPI issued in December 2012.

Overview

NPI1447595129
StatusActive
Entity typeIndividual
CredentialPHD, BCBA-D
Sole proprietorYes
NPI issuedDec 6, 2012
Last updated in NPPESNov 3, 2021
Certified by providerNov 3, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Behavior Analyst Primary103K00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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