Individual
SHANNON GONSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8140 OLD FEDERAL RD, MONTGOMERY, AL 36117-8007
(205) 506-2617
Mailing address
8140 OLD FEDERAL RD, MONTGOMERY, AL 36117-8007
(205) 506-2617
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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