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

Shantall Carrasco Gonzalez

Individual provider Behavior Technician · NPI 1629925441

Shantall Carrasco Gonzalez is a Behavior Technician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2026.

Licensed in
UT
In the registry since
2026

Practice location Address checks out

780 S Guardsman Way
Salt Lake City, UT 84108-1374
Phone: (888) 949-4864
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-26-520896 (UT)

Record details

NPI number1629925441
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 11, 2026
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

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