Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNON MORTENSEN
NPI 1558057802
Behavior Analyst in Salt Lake City, UT

Q: What is Shannon Mortensen's NPI number?

The NPI number for Shannon Mortensen is 1558057802. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Q: What is Shannon Mortensen's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Mortensen was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 11, 2023

515 S 700 E STE 2A, SALT LAKE CITY, UT 84102(801) 935-4171 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2026, Apr 11, 2023 (2 updates tracked since 2023).

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About Shannon Mortensen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON MORTENSEN (NPI 1558057802) is an individual behavior analyst provider in Salt Lake City, Utah, licensed in Utah (1-26-89071) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1558057802

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameSHANNON MORTENSEN

Location Address515 S 700 E STE 2ASalt Lake City, UT 84102-2855

Mailing Address16255 Ventura Blvd Ste 830Encino, CA 91436-2317

Phone(801) 935-4171

Sole ProprietorNo

Enumeration DateApril 11, 2023

Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration

NPPES CertifiedJuly 7, 2026

✔ NPI 1558057802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in UT · 1-26-89071

Definition

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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

515 S 700 E STE 2A, Salt Lake City, UT 84102

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE GRETTENBERGER

Behavior Technician

515 S 700 E STE 2A
SALT LAKE CITY, UT 84102

Salt Lake County (800) 434-8923

NATHAN HEAPS

Behavior Technician

515 S 700 E STE 2A
SALT LAKE CITY, UT 84102

Salt Lake County (800) 434-8923

ZOIE ANNE ARNOLD

Behavior Technician

515 S 700 E STE 2A
SALT LAKE CITY, UT 84102

Salt Lake County (800) 434-8923

ELIN BERTHEAU

Behavior Technician

515 S 700 E STE 2A
SALT LAKE CITY, UT 84102

Salt Lake County (801) 823-1486

LAUREL STERLING

Behavior Technician

515 S 700 E STE 2A
SALT LAKE CITY, UT 84102

Salt Lake County (801) 935-4171

LAURA VALENTINA FRANCISCA AGUILAR BARRIENTOS

Behavior Technician

515 S 700 E STE 2A
SALT LAKE CITY, UT 84102

Salt Lake County (801) 935-4171

JENNEAL ROGERS

Behavior Technician

515 S 700 E STE 2A
SLC, UT 84102

Salt Lake County (801) 935-4171

ROBBERT MAIB

Behavior Technician

515 S 700 E STE 2A
SALT LAKE CITY, UT 84102

Salt Lake County (801) 935-4171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Mortensen's NPI number?

The NPI number for Shannon Mortensen is 1558057802. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Shannon Mortensen located?

Shannon Mortensen practices at 515 S 700 E Ste 2A, Salt Lake City, UT 84102. The listed phone number is (801) 935-4171.

What is Shannon Mortensen's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Shannon Mortensen was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.