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 | 106S00000X | Behavior Technician | | | | No |
| 3 | 174200000X | Meals | | | | No |
| 4 | 251S00000X | Community/Behavioral Health | | | | Yes |
| 5 | 261QH0700X | Clinic/Center | Hearing and Speech | | | No |
| 6 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 7 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 8 | 261QP2000X | Clinic/Center | Physical Therapy | | | No |
| 9 | 343800000X | Secured Medical Transport (VAN) | | | | No |
| 10 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |