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 | 253Z00000X | In Home Supportive Care | | C0629 06379 52902 | NEW JERSEY | No |
| 2 | 106E00000X | Assistant Behavior Analyst | | C0629 06379 52902 | NEW JERSEY | Yes |