OrganizationActive
Foundations Aba and Autism Consulting, LLC
NPI 1972258390 · Child & Adolescent Psychiatry Physician · Avon, IN
Provider details
- NPI number
- 1972258390
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephanie Shrock, Owner/Bcba(317) 431-2003
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 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
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
5250 E US Highway 36 Ste 360
Avon, IN 46123-9151
Phone: (317) 661-1905
Approximate (ZIP-level) locationGet directions
Mailing address
52 E Main St # 107
Danville, IN 46122-1857
Registry dates
- Enumerated
- 2022-02-14
- Last updated
- 2022-10-21
- Certified
- 2022-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.