Individual ProviderTayler WittmanBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address4797 W Grande Market Dr, Appleton, WI 54913-8411(920) 815-3873(715) 600-4081PECOS EnrollmentBased on the most recent information from CMS, provider Tayler Wittman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1184322976Provider TypeIndividualFull NameWittman, TaylerCredentialM.ED., BCBAGenderFemaleSole ProprietorNoEnumeration Date2/21/2023Last Updated2/21/2023Contact InformationPractice LocationPractice Address4797 W Grande Market Dr, Appleton, WI 54913-8411Phone(920) 815-3873FaxUnlisted FaxMailing LocationMailing Address606 E Elm Dr, Little Chute, WI 54140-1276Phone(715) 600-4081FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1081-140Wisconsin