Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 251S00000X | Community/Behavioral Health | | MFT 52930 | CALIFORNIA | No |
| 2 | 251S00000X | Community/Behavioral Health | | MFT 77513 | CALIFORNIA | No |
| 3 | 251S00000X | Community/Behavioral Health | | BCBA 1-13-14270 | CALIFORNIA | No |
| 4 | 251S00000X | Community/Behavioral Health | | BCBA 1-10-6879 | CALIFORNIA | No |
| 5 | 252Y00000X | Early Intervention Provider Agency | | 44050 | CALIFORNIA | Yes |