Thomas Bardin | |
2306 Huron St Columbia SC 29205-3828 | |
(803) 606-5662 | |
(803) 339-1907 |
Full Name | Thomas Bardin |
---|---|
Speciality | Behavior Analyst |
Location | 2306 Huron St, Columbia, South Carolina |
Authorized Official Name and Position | Thomas Joseph Bardin (BEHAVIOR ANALYST AND OWNER) |
Authorized Official Contact | 8033945619 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thomas Bardin 2306 Huron St Columbia SC 29205-3828 Ph: (803) 606-5662 | Thomas Bardin 2306 Huron St Columbia SC 29205-3828 Ph: (803) 606-5662 |
NPI Number | 1487160602 |
---|---|
Provider Enumeration Date | 12/26/2017 |
Last Update Date | 11/18/2020 |
Certification Date | 11/18/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487160602 | NPI | - | NPPES |
1922477934 | Other | NPI | |
14172597 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-17-28411 (* (Not Available)) | Primary |
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