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 | 163W00000X | Registered Nurse | | | | No |
| 3 | 164W00000X | Licensed Practical Nurse | | | | No |
| 4 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 5 | 251S00000X | Community/Behavioral Health | | | | No |
| 6 | 253Z00000X | In Home Supportive Care | | | | No |
| 7 | 343800000X | Secured Medical Transport (VAN) | | | | No |
| 8 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 9 | 347C00000X | Private Vehicle | | | | No |
| 10 | 385H00000X | Respite Care | | | | No |
| 11 | 385HR2055X | Respite Care | Respite Care, Mental Illness, Child | | | No |
| 12 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 13 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |
| 14 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | Yes |
