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 | 311Z00000X | Custodial Care Facility | | | | No |
| 3 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 4 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 5 | 374U00000X | Home Health Aide | | | | No |
| 6 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | Yes |