Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

The Champion Center for Autism, Inc

Organization Behavior Analyst · NPI 1952790560

The Champion Center for Autism, Inc is a Behavior Analyst in Country Club Hills, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
Specialties on file
10
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17500 Sycamore Ave
Country Club Hills, IL 60478-4884
Phone: (708) 213-7991
Fax: (708) 365-6765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (IL)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X (IL)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X (IL)
Health Educator Taxonomy 174H00000X (IL)
Developmental Therapist Taxonomy 222Q00000X (IL)
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X (IL)
Feeding, Eating & Swallowing Occupational Therapist Taxonomy 225XF0002X (IL)
Driving and Community Mobility Occupational Therapist Taxonomy 225XR0403X (IL)
Speech-Language Pathologist Taxonomy 235Z00000X (IL)

Record details

NPI number1952790560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latrice Harrell — Executive Director · (708) 213-7991
NPI enumeratedJanuary 20, 2015
Last updated in NPPESJanuary 20, 2015
Mailing address17500 Sycamore Ave, Country Club Hills, IL 60478-4884

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