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 | 106S00000X | Behavior Technician | | | TEXAS | No |
| 2 | 106S00000X | Behavior Technician | | | WASHINGTON | No |
| 3 | 133NN1002X | Nutritionist | Nutrition, Education | | LOUISIANA | No |
| 4 | 133NN1002X | Nutritionist | Nutrition, Education | | WASHINGTON | No |
| 5 | 133NN1002X | Nutritionist | Nutrition, Education | | TEXAS | No |
| 6 | 171400000X | Health and Wellness Coach | | | LOUISIANA | No |
| 7 | 171M00000X | Case Manager/Care Coordinator | | | LOUISIANA | No |
| 8 | 171M00000X | Case Manager/Care Coordinator | | | WASHINGTON | No |
| 9 | 171M00000X | Case Manager/Care Coordinator | | | TEXAS | No |
| 10 | 174H00000X | Health Educator | | | LOUISIANA | No |
| 11 | 174H00000X | Health Educator | | | WASHINGTON | No |
| 12 | 174H00000X | Health Educator | | | TEXAS | No |
| 13 | 106S00000X | Behavior Technician | | | LOUISIANA | Yes |