Individual provider · Type 1 NPI

Shannon Mortensen

Behavior Analyst · Salt Lake City, UT

NPI number 1558057802 Active

Practice location

515 S 700 E Ste 2A
Salt Lake City, UT 84102-2855

Call (801) 935-4171 Map

Mailing address

16255 Ventura Blvd Ste 830
Encino, CA 91436-2317

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-26-89071 (UT)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1558057802

Shannon Mortensen's National Provider Identifier is 1558057802, issued on Apr 11, 2023. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 7, 2026.