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 | 104100000X | Social Worker | | | | No |
| 4 | 225X00000X | Occupational Therapist | | | | No |
| 5 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 6 | 251S00000X | Community/Behavioral Health | | | | No |
| 7 | 347B00000X | Bus | | | | No |
| 8 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | Yes |