Organization
TIME TO SHINE ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYN WYSOGLAD MA, BCBA (BCBA)
(630) 779-3029
Entity
Organization
Contact information
Practice address
21 BOULDER HILL PASS, MONTGOMERY, IL 60538-1911
(630) 331-3667
Mailing address
21 BOULDER HILL PASS, MONTGOMERY, IL 60538-1911
(630) 331-3667
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/30/2022
Last updated
09/10/2024
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