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 | 251C00000X | Day Training, Developmentally Disabled Services |  |  |  | No | 
| 3 | 252Y00000X | Early Intervention Provider Agency |  |  |  | No | 
| 4 | 253Z00000X | In Home Supportive Care |  |  |  | No | 
| 5 | 261QD1600X | Clinic/Center | Developmental Disabilities |  |  | No | 
| 6 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) |  |  | No | 
| 7 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health |  |  | No | 
| 8 | 261QM1300X | Clinic/Center | Multi-Specialty |  |  | No | 
| 9 | 251S00000X | Community/Behavioral Health |  |  |  | Yes |