Individual provider · Type 1 NPI

Kaitlin Fogeltanz, BCBA

Behavior Analyst · Mequon, WI

NPI number 1235852815 Active

Practice location

10400 N Baehr Rd
Mequon, WI 53092-4472

Call (414) 944-1511 Map

Mailing address

224 W 35th St Ste 500
New York, NY 10001-2538

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1037-140 (WI)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1235852815

Kaitlin Fogeltanz, BCBA's National Provider Identifier is 1235852815, issued on Sep 20, 2022. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Mequon, WI. The record was last updated on Dec 17, 2025.