# FOUNDATIONS ABA AND AUTISM CONSULTING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972258390
- **Authorized official:** STEPHANIE SHROCK BCBA (OWNER/BCBA)
- **Authorized official phone:** (317) 431-2003

## Contact information

- **Practice address:** 5250 E US HIGHWAY 36 STE 360, AVON, IN 46123-9151
- **Practice address phone:** (317) 661-1905
- **Mailing address:** 52 E MAIN ST \# 107, DANVILLE, IN 46122-1857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2022
- **Last updated:** 10/21/2022