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 | 103TM1800X | Psychologist | Intellectual and Developmental Disabilities | | | No |
| 3 | 106E00000X | Assistant Behavior Analyst | | | | No |
| 4 | 106S00000X | Behavior Technician | | | | No |
| 5 | 171000000X | Military Health Care Provider | | | | No |
| 6 | 174H00000X | Health Educator | | | | No |
| 7 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 8 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | Yes |