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 | 103TA0400X | Psychologist | Addiction (Substance Use Disorder) | | | No |
| 2 | 103TB0200X | Psychologist | Cognitive & Behavioral | | | No |
| 3 | 104100000X | Social Worker | | | | No |
| 4 | 106E00000X | Assistant Behavior Analyst | | | | No |
| 5 | 106S00000X | Behavior Technician | | | | No |
| 6 | 171400000X | Health and Wellness Coach | | | | No |
| 7 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 8 | 374U00000X | Home Health Aide | | | | No |
| 9 | 390200000X | Student in an Organized Health Care Education/Training Program | | | | No |
| 10 | 175T00000X | Peer Specialist | | | | No |
| 11 | 373H00000X | Day Training/Habilitation Specialist | | | | No |
| 12 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 13 | 101YM0800X | Counselor | Mental Health | | | No |
| 14 | 103K00000X | Behavior Analyst | | | | No |
| 15 | 376G00000X | Nursing Home Administrator | | | | Yes |
