MEDICARE: LITTLE CHAMPS ABA OHLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1164365136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE CHAMPS ABA OHLLC

Provider Business Mailing Address
First Line	:	201 E 5TH ST STE 1900
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-4162
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 E 5TH ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-4152
Country	:	US
Telephone Number	:	385-494-3500
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MARK SCHIK
Credential	:
Telephone Number	:	385-494-3500

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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