Individual
TAYLER WITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
4797 W GRANDE MARKET DR, APPLETON, WI 54913-8411
(920) 815-3873
Mailing address
606 E ELM DR, LITTLE CHUTE, WI 54140-1276
(715) 600-4081
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1081-140
WI
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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