Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robert Anthony Bottalla Jr.

Individual provider Behavior Analyst · NPI 1326781519

Robert Anthony Bottalla Jr. is a Behavior Analyst in Glendale, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.

Licensed in
WI
In the registry since
2022

Practice location Address checks out

7101 N Green Bay Ave
Glendale, WI 53209-2800
Phone: (414) 288-6187
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1463-140 (WI)

Record details

NPI number1326781519
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2022
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025
Mailing address405 Bishops Way Unit 633, Brookfield, WI 53005-6261

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