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 | 103T00000X | Psychologist | | | | No |
| 3 | 103TC2200X | Psychologist | Clinical Child & Adolescent | | | No |
| 4 | 106E00000X | Assistant Behavior Analyst | | | | No |
| 5 | 106S00000X | Behavior Technician | | | | No |
| 6 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 7 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 8 | 224Z00000X | Occupational Therapy Assistant | | | | No |
| 9 | 225A00000X | Music Therapist | | | | No |
| 10 | 235Z00000X | Speech-Language Pathologist | | | | No |
| 11 | 225X00000X | Occupational Therapist | | | | No |
| 12 | 251B00000X | Case Management | | | | No |
| 13 | 251S00000X | Community/Behavioral Health | | | | No |
| 14 | 225XM0800X | Occupational Therapist | Mental Health | | | No |
| 15 | 106H00000X | Marriage & Family Therapist | | | | Yes |