Organization
THE CHAMPION CENTER FOR BEHAVIORAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRICE HARRELL (EXECUTIVE DIRECTOR)
(312) 536-7779
Entity
Organization
Contact information
Practice address
17500 SYCAMORE AVE, COUNTRY CLUB HILLS, IL 60478-4884
(312) 536-7779
Mailing address
17500 SYCAMORE AVE, COUNTRY CLUB HILLS, IL 60478-4884
(312) 536-7779
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
IL
103K00000X
Behavior Analyst
Primary
—
IL
103T00000X
Psychologist
—
IL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
174400000X
Specialist
—
—
174H00000X
Health Educator
—
—
222Q00000X
Developmental Therapist
—
—
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XR0403X
Driving and Community Mobility Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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