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 | | | | No |
| 2 | 106E00000X | Assistant Behavior Analyst | | | | No |
| 3 | 106S00000X | Behavior Technician | | | | No |
| 4 | 163WA2000X | Registered Nurse | Administrator | | | No |
| 5 | 163WC0400X | Registered Nurse | Case Management | | | No |
| 6 | 163WC1500X | Registered Nurse | Community Health | | | No |
| 7 | 163WC1600X | Registered Nurse | Continuing Education/Staff Development | | | No |
| 8 | 163WH0200X | Registered Nurse | Home Health | | | No |
| 9 | 163WP0808X | Registered Nurse | Psychiatric/Mental Health | | | No |
| 10 | 163WR0400X | Registered Nurse | Rehabilitation | | | No |
| 11 | 164W00000X | Licensed Practical Nurse | | | | No |
| 12 | 363L00000X | Nurse Practitioner | | | | No |
| 13 | 163W00000X | Registered Nurse | | | | Yes |