Organization
CHAMPAIGN BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHADEN KASSAR (BCBA)
(630) 631-9623
Entity
Organization
Contact information
Practice address
3202 WYNSTONE DR, CHAMPAIGN, IL 61822-7403
(630) 631-9623
Mailing address
3202 WYNSTONE DR, CHAMPAIGN, IL 61822-7403
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/19/2025
Last updated
04/15/2026
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