Bac Developmental Program Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

BAC DEVELOPMENTAL PROGRAM INC

Practice address

2203 Coliseum Blvd
Greensboro, NC 27403-3214

Phone

(336) 323-0066

NPI assigned

Feb 16, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Willette Lashonda Carrington

Title

Office Administrator

Phone

(336) 323-0066

Specialties & licenses 1

Addresses

Tax ID family

Bac Developmental Program Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bac Developmental Program Inc

  • Developmentally Disabled Services Day Training Agency
  • Greensboro, NC
  • NPI 1083127997
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1093215972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16844",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274160844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 COLISEUM BLVD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033214",
            "telephone_number": "336-323-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAC DEVELOPMENTAL PROGRAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "CARRINGTON",
        "authorized_official_first_name": "WILLETTE",
        "authorized_official_middle_name": "LASHONDA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "336-323-0066"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shad M Baab, M.D.
• Gregory Allen Babcock, M.D.
• Peter Edward Babcock, ACNP
• Sara Babcock, SLP
• Bac Developmental Program Inc
• Bac Developmental Program Inc
• Back in Balance Gso, Inc.
• Anita Bacon, CADC
• Madan Kumar Badal, MD
• Sarah Bader

• Developmental Disabilities Clinic/Center in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Developmental Disabilities Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.