Active NPI
Leslie Rosales
- Behavior Technician
- Montgomery, IL
National Provider Identifier
1003772328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 25-412614
- Practice address
- 21 Boulder Hill Pass
Montgomery, IL 60538 - Phone
- (630) 331-3667
- Fax
- (630) 338-0048
- NPI assigned
- Dec 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 25-412614 | Primary |
Addresses
Primary practice location
21 Boulder Hill Pass
Montgomery, IL 60538
Mailing address
21 Boulder Hill Pass
Montgomery, IL 60538
Phone (630) 331-3667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Time to Shine ABA LLC | Current | Accepting new patients |
Locations
21 Boulder Hill Pass
Montgomery, IL 60538
Phone (630) 331-3667
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Montgomery, IL
- NPI 1649983032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1003772328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 BOULDER HILL PASS",
"city": "MONTGOMERY",
"state": "IL",
"postal_code": "60538",
"telephone_number": "630-331-3667",
"fax_number": "630-338-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BOULDER HILL PASS",
"city": "MONTGOMERY",
"state": "IL",
"postal_code": "60538",
"telephone_number": "630-331-3667",
"fax_number": "630-338-0048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSALES",
"first_name": "LESLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-30",
"last_updated": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "25-412614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.