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 | 101Y00000X | Counselor | | | | No |
| 2 | 174400000X | Specialist | | | | No |
| 3 | 225400000X | Rehabilitation Practitioner | | | | No |
| 4 | 2255A2300X | Specialist/Technologist | Athletic Trainer | | | No |
| 5 | 225800000X | Recreation Therapist | | | | Yes |
| 6 | 225C00000X | Rehabilitation Counselor | | | | No |
| 7 | 225XN1300X | Occupational Therapist | Neurorehabilitation | | | No |
| 8 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 9 | 385H00000X | Respite Care | | | | No |
| 10 | 385HR2055X | Respite Care | Respite Care, Mental Illness, Child | | | No |
| 11 | 103K00000X | Behavior Analyst | | | | No |
| 12 | 251S00000X | Community/Behavioral Health | | | | No |
| 13 | 222Q00000X | Developmental Therapist | | | | No |
| 14 | 226000000X | Recreational Therapist Assistant | | | | No |
| 15 | 106S00000X | Behavior Technician | | | | No |
