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 | 104100000X | Social Worker | | | CALIFORNIA | No |
| 2 | 103K00000X | Behavior Analyst | | | CALIFORNIA | No |
| 3 | 106S00000X | Behavior Technician | | | CALIFORNIA | Yes |
| 4 | 246YC3302X | Specialist/Technologist, Health Information | Coding Specialist, Physician Office Based | | CALIFORNIA | No |
| 5 | 175T00000X | Peer Specialist | | | CALIFORNIA | No |