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 | 103TM1800X | Psychologist | Intellectual and Developmental Disabilities | | | No |
2 | 103TR0400X | Psychologist | Rehabilitation | | | No |
3 | 225CX0006X | Rehabilitation Counselor | Orientation and Mobility Training Provider | | | No |
4 | 253Z00000X | In Home Supportive Care | | | | No |
5 | 251C00000X | Day Training, Developmentally Disabled Services | | | | Yes |