Individual
MR. THOMAS JOSEPH BARDIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2306 HURON ST, COLUMBIA, SC 29205-3828
(803) 606-5662
Mailing address
2306 HURON ST, COLUMBIA, SC 29205-3828
(803) 606-5662
(803) 339-1907
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-28411
BCBA NUMBER
—
Enumeration date
09/20/2015
Last updated
06/11/2019
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