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 | 251B00000X | Case Management | | | | No |
| 2 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 3 | 251E00000X | Home Health | | | | No |
| 4 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 5 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 6 | 261QH0700X | Clinic/Center | Hearing and Speech | | | No |
| 7 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 8 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 9 | 261QM1300X | Clinic/Center | Multi-Specialty | | | No |
| 10 | 261QP2000X | Clinic/Center | Physical Therapy | | | No |
| 11 | 261QX0100X | Clinic/Center | Occupational Medicine | | | No |
| 12 | 103K00000X | Behavior Analyst | | | | Yes |
| 13 | 253Z00000X | In Home Supportive Care | | | | No |
| 14 | 251S00000X | Community/Behavioral Health | | | | No |
| 15 | 106S00000X | Behavior Technician | | | | No |