Individual
MRS. STEPHANIE K SHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
6940 BUHRSTONE LN, AVON, IN 46123-6621
(317) 431-2003
Mailing address
6940 BUHRSTONE LN, AVON, IN 46123-6621
(317) 431-2003
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19172
IN
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
12/28/2015
Last updated
02/15/2022
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