| Thomas Bardin | |
|
3401 Colonial Dr Columbia SC 29203-6934 | |
| (803) 394-5619 | |
| (803) 339-1907 |
| Full Name | Thomas Bardin |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3401 Colonial Dr, 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 3401 Colonial Dr Columbia SC 29203-6934 Ph: (803) 394-5619 | Thomas Bardin 3401 Colonial Dr Columbia SC 29203-6934 Ph: (803) 394-5619 |
| NPI Number | 1487160602 |
|---|---|
| Provider Enumeration Date | 12/26/2017 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| 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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