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 | 251V00000X | Voluntary or Charitable | | | | No |
| 2 | 261QA3000X | Clinic/Center | Augmentative Communication | | | No |
| 3 | 261QP2000X | Clinic/Center | Physical Therapy | | | No |
| 4 | 261QX0100X | Clinic/Center | Occupational Medicine | | | No |
| 5 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 6 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 7 | 103K00000X | Behavior Analyst | | | | Yes |