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 | 103TM1800X | Psychologist | Intellectual and Developmental Disabilities | | | No |
| 3 | 104100000X | Social Worker | | | | No |
| 4 | 106E00000X | Assistant Behavior Analyst | | | | No |
| 5 | 106S00000X | Behavior Technician | | | | No |
| 6 | 133NN1002X | Nutritionist | Nutrition, Education | | | No |
| 7 | 163W00000X | Registered Nurse | | | | No |
| 8 | 163WL0100X | Registered Nurse | Lactation Consultant | | | No |
| 9 | 163WM1400X | Registered Nurse | Nurse Massage Therapist (NMT) | | | No |
| 10 | 163WP0200X | Registered Nurse | Pediatrics | | | No |
| 11 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 12 | 224Z00000X | Occupational Therapy Assistant | | | | No |
| 13 | 235Z00000X | Speech-Language Pathologist | | | | Yes |
| 14 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 15 | 261QP2000X | Clinic/Center | Physical Therapy | | | No |