Individual
TALEN PITTERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1276 W WINNECONNE AVE, NEENAH, WI 54956-2157
(920) 381-4133
(920) 325-0022
Mailing address
1276 W WINNECONNE AVE, NEENAH, WI 54956-2157
(920) 381-4133
(920) 325-0022
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-482469
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100376439
—
WI
Enumeration date
10/30/2025
Last updated
10/30/2025
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