Healthcare Provider Details

I. General information

NPI: 1164365136
Provider Name (Legal Business Name): LITTLE CHAMPS ABA OHLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E 5TH ST
CINCINNATI OH
45202-4152
US

IV. Provider business mailing address

201 E 5TH ST STE 1900
CINCINNATI OH
45202-4162
US

V. Phone/Fax

Practice location:
  • Phone: 385-494-3500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MARK SCHIK
Title or Position: CEO
Credential:
Phone: 385-494-3500