Healthcare Provider Details

I. General information

NPI: 1205748761
Provider Name (Legal Business Name): ELAYJAH BROWNLEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 B ST
HAYWARD CA
94541-3020
US

IV. Provider business mailing address

3264 SHAWN WAY
FAIRVIEW CA
94541-3555
US

V. Phone/Fax

Practice location:
  • Phone: 510-688-8166
  • Fax:
Mailing address:
  • Phone: 510-706-7010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: