Provider Demographics
NPI:1982125365
Name:TONGE, SHAINA M (MED, BCBA)
Entity type:Individual
Prefix:
First Name:SHAINA
Middle Name:M
Last Name:TONGE
Suffix:
Gender:
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:SHAINA
Other - Middle Name:M
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8955 RIDGELINE BLVD STE 1000
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2363
Mailing Address - Country:US
Mailing Address - Phone:720-259-5503
Mailing Address - Fax:
Practice Address - Street 1:8955 RIDGELINE BLVD STE 1000
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2363
Practice Address - Country:US
Practice Address - Phone:720-259-5503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-06
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-17-26084103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst