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 | 101YM0800X | Counselor | Mental Health | | | No |
| 2 | 103TB0200X | Psychologist | Cognitive & Behavioral | | | No |
| 3 | 103TC0700X | Psychologist | Clinical | | | No |
| 4 | 103TC2200X | Psychologist | Clinical Child & Adolescent | | | No |
| 5 | 1041C0700X | Social Worker | Clinical | | | No |
| 6 | 106S00000X | Behavior Technician | | | | No |
| 7 | 163WX0106X | Registered Nurse | Occupational Health | | | No |
| 8 | 221700000X | Art Therapist | | | | No |
| 9 | 2355S0801X | Specialist/Technologist | Speech-Language Assistant | | | No |
| 10 | 235Z00000X | Speech-Language Pathologist | | | | No |
| 11 | 251300000X | Local Education Agency (LEA) | | | | No |
| 12 | 251S00000X | Community/Behavioral Health | | | | No |
| 13 | 261QM1300X | Clinic/Center | Multi-Specialty | | | No |
| 14 | 103K00000X | Behavior Analyst | | | | Yes |