Provider Demographics
NPI:1558937961
Name:BATTLE, ELAINE MIKEL (RBT)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:MIKEL
Last Name:BATTLE
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 GROVE PARK LN STE 110
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-5912
Mailing Address - Country:US
Mailing Address - Phone:334-305-0297
Mailing Address - Fax:334-777-2355
Practice Address - Street 1:200 GROVE PARK LN STE 110
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36305-5912
Practice Address - Country:US
Practice Address - Phone:334-305-0297
Practice Address - Fax:334-777-2355
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician