Provider Demographics
NPI:1922895515
Name:EPP, NATANIA
Entity type:Individual
Prefix:
First Name:NATANIA
Middle Name:
Last Name:EPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NATANIA
Other - Middle Name:
Other - Last Name:BRASSELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33779 DALTON CT
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-3217
Mailing Address - Country:US
Mailing Address - Phone:510-320-7183
Mailing Address - Fax:
Practice Address - Street 1:9060 CHRIS CT
Practice Address - Street 2:
Practice Address - City:JURUPA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92509-3004
Practice Address - Country:US
Practice Address - Phone:909-225-3233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA718756106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician