Provider Demographics
NPI:1285262717
Name:ELAINE AND ASSOCIATES, LLC
Entity type:Organization
Organization Name:ELAINE AND ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES FRAGINALS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-616-4689
Mailing Address - Street 1:1325 SE 47TH ST UNIT I-3
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-9692
Mailing Address - Country:US
Mailing Address - Phone:786-616-4689
Mailing Address - Fax:
Practice Address - Street 1:1325 SE 47TH ST UNIT I-3
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9692
Practice Address - Country:US
Practice Address - Phone:786-616-4689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-30
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty