Caitlyn Marie Wysoglad

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-31364 Issued in IL

Practice address

89 Boulder Hill Pass
Montgomery, IL 60538-1911

Phone

(630) 331-3667

NPI assigned

Oct 26, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Time to Shine ABA LLC

  • Behavior Analyst
  • Montgomery, IL
  • NPI 1649983032
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1326590274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 BOULDER HILL PASS",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605381911",
            "telephone_number": "630-331-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 BOULDER HILL PASS",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605381911",
            "telephone_number": "630-331-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSOGLAD",
        "first_name": "CAITLYN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-18-31364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wildroot Relationship Therapy PLLC
• Pamela J Wishecoby, PBT
• Lyndsey E Wolverton
• Abby Marie Workman
• Natalie Worthington, IBCLC
• Richard Yullambo Yenkong, APN
• You Matter We Care L.L.C.
• Clorissa Young, MA, LCPC
• Tiffany Zenisek
• Lisa Marie Zwemke, PHARMD

• Behavior Analyst in Montgomery, IL
• Providers in Montgomery, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.