IndividualActive
Audra Stance, BA, MPA
NPI 1023688850 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Peoria, IL
Provider details
- NPI number
- 1023688850
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Credential
- BA, MPA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2310 W Starr St
Peoria, IL 61605-3240
Phone: (510) 563-9785
Street-level locationGet directions
Mailing address
Po Box 4792
Stockton, CA 95204-0792
Additional practice locations (1)
- 2116 W Howett StPeoria, IL 61605-1507Phone: (510) 563-9785
Registry dates
- Enumerated
- 2021-06-24
- Last updated
- 2021-06-24
- Certified
- 2021-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.