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 | | | | Yes |
| 2 | 103TM1800X | Psychologist | Intellectual and Developmental Disabilities | | | No |
| 3 | 1041C0700X | Social Worker | Clinical | | | No |
| 4 | 106E00000X | Assistant Behavior Analyst | | | | No |
| 5 | 106S00000X | Behavior Technician | | | | No |
| 6 | 163WH0200X | Registered Nurse | Home Health | | | No |
| 7 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 8 | 251E00000X | Home Health | | | | No |
| 9 | 251S00000X | Community/Behavioral Health | | | | No |
| 10 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 11 | 372600000X | Adult Companion | | | | No |
| 12 | 373H00000X | Day Training/Habilitation Specialist | | | | No |
| 13 | 3747P1801X | Technician | Personal Care Attendant | | | No |
| 14 | 374U00000X | Home Health Aide | | | | No |
| 15 | 385H00000X | Respite Care | | | | No |