Back to Basics Youth Education

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

BACK TO BASICS YOUTH EDUCATION

Doing business as

Back to Basics Youth Education

Practice address

120 W 2ND St Ste 611
Dayton, OH 45402-1657

Phone

(937) 248-5360

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Lawrence Lindsey

Title

Director

Phone

(937) 248-5360

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Back to Basics Youth Education Doing business as

Locations

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1497472211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 MERRYWOOD DR",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222445",
            "telephone_number": "937-248-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 2ND ST STE 611",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021657",
            "telephone_number": "937-248-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BASICS YOUTH EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "937-248-5360"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12234",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back to Basics Youth Education",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Back to Basics Youth Education",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kurt Bachman, QMHS/CMS
• Jonathan H Bachna, PHARMD
• Maria Bachna, PA-C
• Kristy Bachnivsky
• Back in Motion Durable Medical Equipment LLC
• Andrea Back, RN
• Kelli Back
• Patricia Ann Back, MD
• Sandra K Back, RN
• Barynia Fernande Backeljauw, MD

• Developmentally Disabled Services Day Training Agency in Dayton, OH
• Providers in Dayton, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.