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Contact Information

THE CHAMPION CENTER FOR BEHAVIORAL THERAPY INC.
17500 SYCAMORE AVE
COUNTRY CLUB HILLS, IL60478-4884
 Phone: 312-536-7779
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Assistive Technology Practitioner

225CA2400X
 

Audiologist

231H00000X 64 Audiologist
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Developmental Therapist

222Q00000X
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Driving and Community Mobility

225XR0403X 67 Occupational Therapist in Private Practice
 

Feeding, Eating & Swallowing

225XF0002X 67 Occupational Therapist in Private Practice
 

Health Educator

174H00000X
 

Nutritionist

133N00000X
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

Specialist

174400000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for THE CHAMPION CENTER FOR BEHAVIORAL THERAPY INC.

NPI # 1265890784
LBN Legal business name THE CHAMPION CENTER FOR BEHAVIORAL THERAPY INC.
Authorized official LATRICE HARRELL - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2016
Last updated 01/29/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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