Individual
TIMOTHY MISSELDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5167 W 111TH ST, ALSIP, IL 60803-6021
(773) 524-2551
Mailing address
916 193RD PL, CHICAGO HEIGHTS, IL 60411-7520
(563) 419-7731
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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