Champion, Mia

Champion, Mia is an individual health care provider with primary practice located at 2460 India Hook Rd Ste 104-105 , Rock Hill SC 29732-3530. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Champion, Mia can be contacted via phone (803) 366-6250.

Contact Information

Primary practice address
2460 India Hook Rd Ste 104-105 Rock Hill SC 29732-3530
Phone: (803) 366-6250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1124582606
LBN Legal business name Champion, Mia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2019
Last updated Jan 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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