Healthcare Provider Details

I. General information

NPI: 1982569620
Provider Name (Legal Business Name): CALIA ABENI BATTLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 IMPERIAL BLVD STE E
HENDERSONVILLE TN
37075-3400
US

IV. Provider business mailing address

1080 W MAIN ST APT 703
HENDERSONVILLE TN
37075-2875
US

V. Phone/Fax

Practice location:
  • Phone: 615-560-6622
  • Fax:
Mailing address:
  • Phone: 865-773-5577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number137899891
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: