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 | 106E00000X | Assistant Behavior Analyst | | | | No |
| 2 | 175T00000X | Peer Specialist | | | | No |
| 3 | 251E00000X | Home Health | | | | No |
| 4 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 5 | 253J00000X | Foster Care Agency | | | | No |
| 6 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 7 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 8 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 9 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 10 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 11 | 104100000X | Social Worker | | | | Yes |