Healthcare Provider Details

I. General information

NPI: 1841759206
Provider Name (Legal Business Name): CALEE ROSE LUNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2019
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2014 BROADWAY STE 100
NASHVILLE TN
37203-2425
US

IV. Provider business mailing address

6230 NOLENSVILLE RD APT 101
NASHVILLE TN
37211-4031
US

V. Phone/Fax

Practice location:
  • Phone: 615-322-8240
  • Fax:
Mailing address:
  • Phone: 630-391-0388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-25-16414
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: