Provider Demographics
NPI:1861516304
Name:THE BAY SCHOOL
Entity type:Organization
Organization Name:THE BAY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AR MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:TRITTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-437-1323
Mailing Address - Street 1:5400 SOQUEL AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-7803
Mailing Address - Country:US
Mailing Address - Phone:831-462-9620
Mailing Address - Fax:
Practice Address - Street 1:5400 SOQUEL AVE
Practice Address - Street 2:SUITE F
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-7803
Practice Address - Country:US
Practice Address - Phone:831-462-9620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherFEDERAL TAX ID