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 | 231HA2500X | Audiologist | Assistive Technology Supplier | | | No |
| 2 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 3 | 103TM1800X | Psychologist | Intellectual and Developmental Disabilities | | | No |
| 4 | 225CA2400X | Rehabilitation Counselor | Assistive Technology Practitioner | | | No |
| 5 | 231HA2400X | Audiologist | Assistive Technology Practitioner | | | No |
| 6 | 225CA2500X | Rehabilitation Counselor | Assistive Technology Supplier | | | Yes |