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 | | | CALIFORNIA | No |
| 2 | 133NN1002X | Nutritionist | Nutrition, Education | | CALIFORNIA | No |
| 3 | 133NN1002X | Nutritionist | Nutrition, Education | | | No |
| 4 | 171W00000X | Contractor | | | | No |
| 5 | 171400000X | Health and Wellness Coach | | | CALIFORNIA | No |
| 6 | 172V00000X | Community Health Worker | | | | No |
| 7 | 174400000X | Specialist | | | | No |
| 8 | 225700000X | Massage Therapist | | | CALIFORNIA | No |
| 9 | 2251S0007X | Physical Therapist | Sports | | CALIFORNIA | No |
| 10 | 225400000X | Rehabilitation Practitioner | | | CALIFORNIA | No |
| 11 | 251S00000X | Community/Behavioral Health | | | CALIFORNIA | No |
| 12 | 302F00000X | Exclusive Provider Organization | | | CALIFORNIA | No |
| 13 | 347C00000X | Private Vehicle | | | CALIFORNIA | No |
| 14 | 372600000X | Adult Companion | | | CALIFORNIA | No |
| 15 | 174H00000X | Health Educator | | | CALIFORNIA | Yes |
