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 | 101Y00000X | Counselor | | | | No |
| 3 | 106S00000X | Behavior Technician | | | | No |
| 4 | 163W00000X | Registered Nurse | | | | No |
| 5 | 224Z00000X | Occupational Therapy Assistant | | | | No |
| 6 | 225100000X | Physical Therapist | | | | No |
| 7 | 225X00000X | Occupational Therapist | | | | No |
| 8 | 235Z00000X | Speech-Language Pathologist | | | | No |
| 9 | 103TC0700X | Psychologist | Clinical | | | No |
| 10 | 251E00000X | Home Health | | | | No |
| 11 | 251S00000X | Community/Behavioral Health | | | | No |
| 12 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 13 | 253Z00000X | In Home Supportive Care | | | | No |
| 14 | 3747P1801X | Technician | Personal Care Attendant | | | No |
| 15 | 261QM1300X | Clinic/Center | Multi-Specialty | | | Yes |
