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Individual

TEISHA BETH BARDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1220 ASHLEY CIR, BOWLING GREEN, KY 42104-3338
(859) 554-2385
Mailing address
608 W. STOCKTON ST., EDMONTON, KY 42129
(270) 646-8629

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-78777
KY

Other

Enumeration date
06/09/2021
Last updated
02/06/2025
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