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 | 103K00000X | Behavior Analyst | | 1032300-4-CFC | MINNESOTA | No |
| 2 | 251E00000X | Home Health | | 1032300-4-CFC | MINNESOTA | No |
| 3 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | 1032300-4-CFC | MINNESOTA | No |
| 4 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | 1032300-4-CFC | MINNESOTA | No |
| 5 | 347C00000X | Private Vehicle | | 1032300-4-CFC | MINNESOTA | No |
| 6 | 385H00000X | Respite Care | | 1032300-4-CFC | MINNESOTA | No |
| 7 | 385HR2055X | Respite Care | Respite Care, Mental Illness, Child | 1032300-4-CFC | MINNESOTA | No |
| 8 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | 1032300-4-CFC | MINNESOTA | No |
| 9 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | 1032300-4-CFC | MINNESOTA | No |
| 10 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | 1032300-4-CFC | MINNESOTA | Yes |
