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 | 101YM0800X | Counselor | Mental Health | | | No |
| 2 | 221700000X | Art Therapist | | | | No |
| 3 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 4 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 5 | 251S00000X | Community/Behavioral Health | | | | No |
| 6 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 7 | 253Z00000X | In Home Supportive Care | | | | No |
| 8 | 261Q00000X | Clinic/Center | | | | No |
| 9 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 10 | 385H00000X | Respite Care | | | | No |
| 11 | 385HR2050X | Respite Care | Respite Care Camp | | | No |
| 12 | 385HR2055X | Respite Care | Respite Care, Mental Illness, Child | | | No |
| 13 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 14 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |
| 15 | 103K00000X | Behavior Analyst | | | | Yes |