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Organization
FOUNDATIONS ABA AND AUTISM CONSULTING, LLC
Active
Organization
FOUNDATIONS ABA AND AUTISM CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SHROCK BCBA (OWNER/BCBA)
(317) 431-2003
Entity
Organization
Contact information
Practice address
5250 E US HIGHWAY 36 STE 360, AVON, IN 46123-9151
(317) 661-1905
Mailing address
52 E MAIN ST # 107, DANVILLE, IN 46122-1857
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
10/21/2022
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