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 | 235Z00000X | Speech-Language Pathologist | | | | No |
| 2 | 251B00000X | Case Management | | | | No |
| 3 | 106E00000X | Assistant Behavior Analyst | | | | No |
| 4 | 101YM0800X | Counselor | Mental Health | | | No |
| 5 | 103T00000X | Psychologist | | | | No |
| 6 | 251S00000X | Community/Behavioral Health | | | | No |
| 7 | 103TC2200X | Psychologist | Clinical Child & Adolescent | | | No |
| 8 | 106S00000X | Behavior Technician | | | | No |
| 9 | 103TB0200X | Psychologist | Cognitive & Behavioral | | | No |
| 10 | 225X00000X | Occupational Therapist | | | | No |
| 11 | 261Q00000X | Clinic/Center | | | | No |
| 12 | 373H00000X | Day Training/Habilitation Specialist | | | | No |
| 13 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 14 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 15 | 103K00000X | Behavior Analyst | | | | Yes |