Provider Demographics
NPI:1386459055
Name:B.A.T.A. DEVELOPMENTAL SERVICES LLC
Entity type:Organization
Organization Name:B.A.T.A. DEVELOPMENTAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-873-4219
Mailing Address - Street 1:2234 GREEN BLOSSOM CT
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-2345
Mailing Address - Country:US
Mailing Address - Phone:916-873-4219
Mailing Address - Fax:
Practice Address - Street 1:2234 GREEN BLOSSOM CT
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-2345
Practice Address - Country:US
Practice Address - Phone:916-873-4219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health