Robert Anthony Bottalla Jr.

Behavior Analyst · Glendale, WI

Individual Active NPI

NPI number 1326781519

Practice location

7101 N Green Bay Ave
Glendale, WI 53209-2800
Phone
(414) 288-6187

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NPI record

NPI
1326781519
Entity type
Individual (Type 1)
Enumeration date
April 15, 2022
Last updated
December 1, 2025
Certified
December 1, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1463-140 WI

Mailing address

405 Bishops Way Unit 633
Brookfield, WI 53005-6261
Phone
(847) 899-7653

About Robert Bottalla

Robert Anthony Bottalla Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 7101 N Green Bay Ave, Glendale, WI 53209-2800. The NPI number 1326781519 was assigned on April 15, 2022 and the record was last updated on December 1, 2025.

Robert Bottalla lists a license in the registry: #1463-140 (WI) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Anthony Bottalla Jr.?

The NPI number is 1326781519.

What is the phone number of Robert Bottalla?

The phone number listed for the practice location is (414) 288-6187.

Where is Robert Bottalla located?

7101 N Green Bay Ave, Glendale, WI 53209-2800.

What is the taxonomy code for Robert Bottalla?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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