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 | 101Y00000X | Counselor | | | | No |
| 2 | 103K00000X | Behavior Analyst | | | | No |
| 3 | 1041C0700X | Social Worker | Clinical | 149015563 | ILLINOIS | No |
| 4 | 222Q00000X | Developmental Therapist | | | ILLINOIS | No |
| 5 | 224Z00000X | Occupational Therapy Assistant | | | | No |
| 6 | 225200000X | Physical Therapy Assistant | | 160005508 | ILLINOIS | No |
| 7 | 225X00000X | Occupational Therapist | | 056008112 | ILLINOIS | No |
| 8 | 235Z00000X | Speech-Language Pathologist | | 146012895 | ILLINOIS | No |
| 9 | 235Z00000X | Speech-Language Pathologist | | 242003718 | ILLINOIS | No |
| 10 | 373H00000X | Day Training/Habilitation Specialist | | | | No |
| 11 | 235Z00000X | Speech-Language Pathologist | | 146008181 | ILLINOIS | Yes |