Individual
ELAINE ANNE FARAON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 3RD AVE STE B8, CHULA VISTA, CA 91910-3990
(855) 223-7123
(619) 374-7134
Mailing address
762 SE 18TH ST, HOMESTEAD, FL 33034-5686
(352) 376-1611
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
163W00000X
Registered Nurse
Primary
95435097
CA
Other
Enumeration date
08/23/2023
Last updated
02/11/2026
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