Healthcare Provider Details

I. General information

NPI: 1578474847
Provider Name (Legal Business Name): MS. SHAINA BRODY EPSTEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

1191 SIMMONS LN
NOVATO CA
94945-1735
US

IV. Provider business mailing address

5927 MARSHALL ST
OAKLAND CA
94608-2219
US

V. Phone/Fax

Practice location:
  • Phone: 877-781-5602
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: