| NPI | 1972258390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SHROCK Owner/Bcba 317-431-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-10-21 |